| NPI | 1386397180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA DAVIS Owner 336-478-5546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-08 |