Provider Demographics
NPI:1912375148
Name:ZYWIE INC
Entity Type:Organization
Organization Name:ZYWIE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GANESHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-230-9196
Mailing Address - Street 1:12000 FINDLEY RD
Mailing Address - Street 2:SUITE 360
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-1412
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12000 FINDLEY RD
Practice Address - Street 2:SUITE 360
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1412
Practice Address - Country:US
Practice Address - Phone:678-230-9196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-03
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA14020782293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory