| NPI | 1891478376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CLEMMONS CEO 910-431-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2024-07-18 |