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Organization

TRIAD REFERENCE LABORATORY, LLC

Active
Other names
Triad Reference Laboratory, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID BOLTON LPC (OWNER)
(336) 202-5318
Entity
Organization

Contact information

Practice address
201 N FRONT ST STE LL101, WILMINGTON, NC 28401-0009
(336) 202-5318
Mailing address
201 N FRONT ST STE LL101, WILMINGTON, NC 28401-0009
(336) 202-5318

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
12/10/2021
Last updated
09/14/2022
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