| NPI | 1497249874 |
|---|---|
| Doing Business As | TESTING SUPPLIER |
| Doing Business As | CONTRACTOR |
| Entity Type | Organization |
| Authorized Contact | CHIRVELLA LOUISE TERRY Technician 843-229-5626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 119254555) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |