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 |