Organization
DJOI INCORPORATED
Active
Organization
DJOI INCORPORATED
Active
Other names
RTP Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY FREEMAN (OWNER)
(919) 309-5411
Entity
Organization
Contact information
Practice address
905 MEBANE OAKS RD, MEBANE, NC 27302-9780
(336) 380-7834
Mailing address
615 BUNKER DR, MEBANE, NC 27302-9819
(919) 309-5411
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D2240277
CLINICAL LABORATORY IMPROVEMENT AMENDMENTS/CDC
NC
Enumeration date
10/28/2021
Last updated
01/10/2022
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