| NPI | 1669994802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SHANNON CFO 919-679-2802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2113681) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-02-23 |