| NPI | 1649873647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DAWN QUICK Billing 910-687-4189 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |