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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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