| NPI | 1023479623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWSON SMITH Owner 336-331-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2108806) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2024-03-11 |