| NPI | 1356835789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE PETERS CAREY President 336-883-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| 246RH0600X Technician, Pathology, Histology | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |