Organization
PRESBYTERIAN LABORATORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED M HARGETT (EVP/CFO)
(704) 384-5184
Entity
Organization
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4293
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON-SALEM, NC 27103-5614
(336) 277-7226
(336) 277-9795
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3400053
—
NC
Enumeration date
05/15/2006
Last updated
10/26/2010
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