# PRESBYTERIAN REGIONAL HEALTHCARE LABORATORY SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043433634
- **Authorized official:** ALICIA HOLDEN ACCOUNTING (LEAD)
- **Authorized official phone:** (404) 943-0205

## Contact information

- **Practice address:** 1851 E 3RD ST, CHARLOTTE, NC 28204-3205
- **Practice address phone:** (404) 943-0205
- **Mailing address:** PO BOX 468029, ATLANTA, GA 31146-8029
- **Mailing address phone:** (404) 943-0205

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 04/11/2007
- **Last updated:** 06/23/2008