Organization
LEGACY DIAGNOSTIC LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESICKA ANDREWS ANDREWS (OWNER)
(252) 366-3250
Entity
Organization
Contact information
Practice address
417 TOLBERT PL, PRINCEVILLE, NC 27886-9615
(252) 710-7830
Mailing address
417 TOLBERT PL, PRINCEVILLE, NC 27886-9615
(252) 710-7830
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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