Provider Demographics
NPI:1740808773
Name:ALL TEST SERVICES
Entity type:Organization
Organization Name:ALL TEST SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-648-7013
Mailing Address - Street 1:575 SIGMAN RD NE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-1311
Mailing Address - Country:US
Mailing Address - Phone:770-648-7013
Mailing Address - Fax:413-702-4395
Practice Address - Street 1:575 SIGMAN RD NE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-1311
Practice Address - Country:US
Practice Address - Phone:770-648-7013
Practice Address - Fax:413-702-4395
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY ACTION MANAGEMENT GROUP, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center