| NPI | 1700223310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY SUTTON Co Director 704-657-4423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2014-01-16 |