| NPI | 1205823374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVIS President 919-862-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D1022141) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |