| NPI | 1942278411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CULLEN TAYLOR President 336-718-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NC 24810) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: NC 200000967) |
| 207ZH0000X Pathology, Hematology (Licence: NC 22509) | |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-11-24 |