| NPI | 1952470593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BOND Business Manager 843-384-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SC 42D1008880) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |