| NPI | 1801672837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHANTRIS BASS CEO/Owner 336-403-3239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |