| NPI | 1912386368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET AGEE Billing Manager 843-410-4402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 4D1092047) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2024-03-18 |