| NPI | 1730932690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DETORIA WHITNEY Executive Director 910-613-0378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology Phlebotomy |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |