| NPI | 1881565331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIESHA SUMLAR-DAVIS Chief Executive Officer 980-776-4654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-12-18 |