| NPI | 1558419986 |
|---|---|
| Doing Business As | CLIA LAB |
| Entity Type | Organization |
| Authorized Contact | NINA M. OLIVER Interim Health Director 704-216-8871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: NC 34D0672502) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-12-23 |