| NPI | 1841915568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANYA ODIM CEO 919-451-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |