Organization
SOUTHEAST PATHOLOGY CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR IDLIBI MC (PATHOLOGIST)
(980) 721-6622
Entity
Organization
Contact information
Practice address
1815 BACK CREEK DR STE 100, CHARLOTTE, NC 28213-2159
(980) 721-6622
Mailing address
1815 BACK CREEK DR STE 100, CHARLOTTE, NC 28213-2159
(980) 721-6622
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
02/04/2020
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