| NPI | 1366296972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY THOMPSON Owner, Lab Director 910-861-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-15 |