| NPI | 1801294665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHAVNA VAIDYA-TANK Owner 919-553-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 200400430) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |