Provider Demographics
NPI:1932646239
Name:RRD GEORGIA LLC
Entity Type:Organization
Organization Name:RRD GEORGIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-835-1700
Mailing Address - Street 1:2215 CHESHIRE BRIDGE RD NE
Mailing Address - Street 2:UNIT C
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4234
Mailing Address - Country:US
Mailing Address - Phone:404-228-3353
Mailing Address - Fax:470-419-5918
Practice Address - Street 1:2215 CHESHIRE BRIDGE RD NE
Practice Address - Street 2:UNIT C
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-4234
Practice Address - Country:US
Practice Address - Phone:404-228-3353
Practice Address - Fax:470-419-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory