Organization
BETHANY MEDICAL CENTER
Active
Parent organization
BETHANY ADVANCE DIAGNOSTIC LAB
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETHANY ADVANCE DIAGNOSTIC LAB
Authorized official
LENIN J PETERS MD (PRESIDENT/CEO)
(336) 883-0029
Entity
Organization
Contact information
Practice address
575 N PATTERSON AVE, SUITE 440, WINSTON SALEM, NC 27101-4101
(877) 722-8910
Mailing address
507 N LINDSAY ST, HIGH POINT, NC 27262-4303
(336) 883-0029
(336) 899-2188
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
34D2089959
NC
Other
Enumeration date
08/24/2015
Last updated
10/13/2025
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