Organization
HIGH POINT HEALTH CARE VENTURES
Active
Other names
HPRHS Reference Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA DIANNE WELLMON BS. BA (DEPARTMENT OF PATHOLOGY)
(336) 878-6064
Entity
Organization
Contact information
Practice address
222 W. RAY STREET, SUITE 102, HIGH POINT, NC 27262
(336) 878-6064
(336) 878-6963
Mailing address
222 W. RAY STREET, SUITE 102, HIGH POINT, NC 27262
(336) 878-6064
(336) 878-6963
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LP00331
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D0685109
CLIA NUMBER
NC
05
—
7001193
—
NC
01
—
LP00331
STATE LIC PAP SCREENI
NC
Enumeration date
05/11/2006
Last updated
10/03/2008
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