Organization
ACEMUY SPECIMEN COLLECTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA C KENNERLY (PRESIDENT)
(252) 213-6944
Entity
Organization
Contact information
Practice address
201 S MAIN ST, WARRENTON, NC 27589-1931
(252) 213-6944
(252) 257-3172
Mailing address
201 S MAIN ST, WARRENTON, NC 27589-1931
(252) 213-6944
(252) 257-3172
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
503528
KS
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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