| NPI | 1154876886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY STUART Managing Partner 843-792-1912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D2115298) |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2025-12-17 |