| NPI | 1093024879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA C KENNERLY President 252-213-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 503528) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |