| NPI | 1558803981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYSHA REID Director 919-923-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2113637) |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |