Organization
QUEEN CITY DIAGNOSTICS LLC
Active
Organization
QUEEN CITY DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FARACHE (OWNER)
(786) 942-2110
Entity
Organization
Contact information
Practice address
300 BILLINGSLEY RD STE 107, CHARLOTTE, NC 28211-1084
(786) 942-2110
Mailing address
300 BILLINGSLEY RD STE 107, CHARLOTTE, NC 28211-1084
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NC
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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