| NPI | 1811306483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FRIBUSH Owner 336-324-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 326822) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |