| NPI | 1972277572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA HICKENBOTHAM Medical Laboratory Technician 704-773-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246R00000X Technician, Pathology |
| Additional Taxonomies | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2024-01-05 |