Organization
BLUEWEST/LAB LLC
Active
Organization
BLUEWEST/LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RACHELLE BROOKS-BLUE (OWNER)
(910) 257-4339
Entity
Organization
Contact information
Practice address
1076 STAMPER RD, FAYETTEVILLE, NC 28303-4191
(336) 255-8285
Mailing address
1076 STAMPER RD, FAYETTEVILLE, NC 28303-4191
(336) 255-8285
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D2122291
NC
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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