Carolina Medical Lab Group Inc.
NPI #1992700124 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1992700124
- Entity Type
- Organization
- Organization Name
- Carolina Medical Lab Group Inc.
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jun 15, 2005
- Last Updated
- Jul 27, 2009
Practice Location
- Address
- 1815 BACK CREEK DR
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28213-2159
- Phone
- (704) 598-8818
Authorized Official
- Name
- MR. OSAMA IDLIBI
- Title
- VICE PRESIDENT
- Phone
- (704) 598-8818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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