| NPI | 1649727058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON LEE GEORGE Director Of Operations 704-222-2803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251X00000X | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2021-06-02 |