Organization
LAB INNOVATIONS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVEN DIANA MONTGOMERY RN (CO-OWNER)
(704) 671-2261
Entity
Organization
Contact information
Practice address
1008 UNION RD STE B, GASTONIA, NC 28054-5590
(704) 671-2261
Mailing address
1008 UNION RD STE B, GASTONIA, NC 28054-5590
(704) 671-2261
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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