| NPI | 1013750165 |
|---|---|
| Doing Business As | CAROLINA LAB 101 |
| Entity Type | Organization |
| Authorized Contact | LAMIRA BENNETT Registered Medical Assistant 518-816-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-06-24 |