| NPI | 1184376451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENEIKA FUNDERBURK Lab Director 704-390-5458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |