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Organization

INTEGRALABS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SANDRA VENERABLE (SECRETARY)
(919) 313-9671
Entity
Organization

Contact information

Practice address
7020 KIT CREEK RD, SUITE 240, RESEARCH TRIANGLE PARK, NC 27709-0008
(919) 313-9671
Mailing address
PO BOX 1994, BRISTOL, VA 24203-1994
(423) 328-0527

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D2034003
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34D2034003
CLIA
NC
Enumeration date
12/27/2011
Last updated
09/13/2013
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