| NPI | 1972970978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADEL ALSHALABI CEO 704-433-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2098649) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2019-06-11 |