| NPI | 1902274327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON P. JOHNSON President 336-722-3803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2038668) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |