| NPI | 1912616251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEVIN WILLIAMS Authorized Official/Owner 910-491-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |