| NPI | 1053850206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHELLE BROOKS-BLUE Owner 910-257-4339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2122291) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |