| NPI | 1043629330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENNETHA EPHRIAM Phleboto MIS T 910-551-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy (Licence: NC 630331140001) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-13 |