Organization
WILKESBORO CLINICAL LAB LLC
Active
Other names
Wilkesboro Clinical Lab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS F CURTE (OWNER)
(336) 838-7609
Entity
Organization
Contact information
Practice address
1201 SCHOOL ST, SUITE A, WILKESBORO, NC 28697-2629
(336) 838-7609
(336) 838-7807
Mailing address
1201 SCHOOL ST, SUITE A, WILKESBORO, NC 28697-2629
(336) 838-7609
(336) 838-7807
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D0958992
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D0958992
CLIA LICENSE
NC
05
—
7001175
—
NC
Enumeration date
08/01/2006
Last updated
04/28/2010
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