Provider Demographics
NPI:1205199163
Name:24/7 DRUG & ALCOHOL TESTING CENTER
Entity Type:Organization
Organization Name:24/7 DRUG & ALCOHOL TESTING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARDEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUMBERBATCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-963-5767
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:CONLEY
Mailing Address - State:GA
Mailing Address - Zip Code:30288-0266
Mailing Address - Country:US
Mailing Address - Phone:404-963-5767
Mailing Address - Fax:866-485-7070
Practice Address - Street 1:1397 CEDAR GROVE RD
Practice Address - Street 2:
Practice Address - City:CONLEY
Practice Address - State:GA
Practice Address - Zip Code:30288-1107
Practice Address - Country:US
Practice Address - Phone:404-963-5767
Practice Address - Fax:866-485-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory