| NPI | 1205280658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JACKSON CEO 843-606-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D2013764) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |