NPI | 1356426043 |
---|---|
Other Name | CLINICAL MEDICAL LABORATORY |
Entity Type | Organization |
Authorized Contact | JOSEPH B. BASS Health Director 336-751-8700 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D0237100) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2006-10-25 |
Last Update Date | 2020-08-22 |