| NPI | 1700581568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHAWN TERRELL Owner 919-352-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Additional Taxonomies | 2083T0002X Preventive Medicine Medical Toxicology |
| 246RM2200X Technician, Pathology Medical Laboratory | |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |