Organization
CELLIGENT DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFRED WRAY CAMPBELL MD (PRESIDENT)
(864) 560-6229
Entity
Organization
Contact information
Practice address
6135 LAKEVIEW RD STE 350, CHARLOTTE, NC 28269-2627
(704) 549-8444
Mailing address
PO BOX 96786, CHARLOTTE, NC 28296-6786
(704) 973-5500
(704) 973-5518
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001318
—
NC
Enumeration date
01/24/2019
Last updated
11/18/2024
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