| NPI | 1871159145 |
|---|---|
| Other Name | CROWN WEST LAB |
| Entity Type | Organization |
| Authorized Contact | KATHERINE FLYNN HENRY Chief Administrative Officer 336-716-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-13 |