| NPI | 1215698980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLA MARIA GLOVER Owner 704-249-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-19 |