| NPI | 1841281664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL LEWIS RANDALL Medical Director 336-838-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 36016) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: NC 36016) |
| 207ZP0101X Pathology, Anatomic Pathology (Licence: NC 36016) | |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2010-07-23 |