| NPI | 1083565147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANETTA HAWKINS Owner/Chief Executive Officer 336-491-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2026-02-05 |
| Last Update Date | 2026-02-05 |