| NPI | 1427726157 |
|---|---|
| Former Legal Business Name | NCCRTEAM |
| Entity Type | Organization |
| Authorized Contact | NATSHA JOHNSON Executor 704-493-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2022-08-23 |