NPI | 1932553484 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW SEVERANCE COO 843-724-2099 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D0250434) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: SC 42D0934931) |
291U00000X Clinical Medical Laboratory (Licence: SC 42D0685422) | |
Enumeration Date | 2016-04-21 |
Last Update Date | 2016-04-21 |