| NPI | 1003575671 |
|---|---|
| Former Legal Business Name | TRIAD REFERENCE LABORATORY, LLC |
| Entity Type | Organization |
| Authorized Contact | DAVID BOLTON Owner 336-202-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-09-14 |