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1942952908
LAB704 LLC
STATESVILLE, NC
NPI
1942952908
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Entity Type
Organization
Authorized Contact
LATASHA G AIKEN
Lpn
315-289-6165
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2022-01-21
Last Update Date
2022-01-21
Business Address
LAB704 LLC
110 STOCKTON ST # E4
STATESVILLE, NC 28677-5253
Phone number: 315-289-6165
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Mailing Address
LAB704 LLC
109 CLODFELTER RD
MOORESVILLE, NC 28115-7810
Phone number: 315-289-6165
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