| NPI | 1952859092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SIMS Owner 252-674-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2022-03-30 |