| NPI | 1013210004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY CLAIR CEO 704-414-2856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2024-07-03 |