Organization
AKA PROFESSIONAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MILLER-MCDOWELL (LAB DIRECTOR)
(336) 267-3364
Entity
Organization
Contact information
Practice address
836 LARMORE AVE, CHARLOTTE, NC 28216-1380
(336) 267-3364
Mailing address
836 LARMORE AVE, CHARLOTTE, NC 28216-1380
(336) 267-3364
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
03/01/2022
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