| NPI | 1821536699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE CROSBY Owner 704-994-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2022-02-18 |