| NPI | 1184098063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY T WILLIAMS Vice President 336-436-5402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NY 33D2098748) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2022-03-15 |