Triad Reference Laboratory, LLC
NPI #1003575671 in Wilmington, North Carolina
Provider Information
- NPI Number
- 1003575671
- Entity Type
- Organization
- Organization Name
- Triad Reference Laboratory, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Dec 10, 2021
- Last Updated
- Sep 14, 2022
Practice Location
- Address
- 201 N FRONT ST STE LL101
- City
- Wilmington
- State
- North Carolina
- ZIP Code
- 28401-0009
- Phone
- (336) 202-5318
Authorized Official
- Name
- DAVID BOLTON, LPC
- Title
- OWNER
- Phone
- (336) 202-5318
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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