| NPI | 1073006144 |
|---|---|
| Doing Business As | WAKE DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | GOVERDHAN REDDY VAVILALA CEO 919-462-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2150941) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2023-05-09 |