| NPI | 1124472675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN CARROLL CEO 843-402-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D0250454) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |