| NPI | 1114740560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA LATOYA TORRES Lab Director 336-929-8134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |