| NPI | 1295917375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN G BAKER Owner 704-405-3970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ID 13D1026723) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2009-05-21 |