| NPI | 1992700124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSAMA IDLIBI Vice President 704-598-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D0946272) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2009-07-27 |