| NPI | 1700528858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONETTE GODARD Manager 252-364-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2022-04-09 |
| Last Update Date | 2026-04-13 |