| NPI | 1336423193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTINA MAYO CEO 843-488-6364 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D0857154) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2023-12-22 |