Organization
PHD LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY VEALE (OWNER)
(704) 565-0870
Entity
Organization
Contact information
Practice address
5104 REAGAN DR STE 8, CHARLOTTE, NC 28206-1392
(704) 565-0870
(704) 565-0869
Mailing address
5104 REAGAN DR STE 8, CHARLOTTE, NC 28206-1392
(704) 565-0870
(704) 565-0869
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
01/19/2022
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