| NPI | 1467829663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENIN J PETERS President/CEO 336-883-0029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2089959) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |