| NPI | 1881239556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY ALLEN Managing Partner 704-998-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health |
| Enumeration Date | 2019-11-17 |
| Last Update Date | 2022-03-03 |