Organization
PBS DIAGNOSTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM M MICHAELS (INCORPORATOR)
(704) 660-3322
Entity
Organization
Contact information
Practice address
9735 KINCEY AVE, SUITE 302A, HUNTERSVILLE, NC 28078-9118
(704) 660-3322
(704) 660-3330
Mailing address
9735 KINCEY AVE, SUITE 302A, HUNTERSVILLE, NC 28078-9118
(704) 660-3322
(704) 660-3330
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
34D2015092
NC
291U00000X
Clinical Medical Laboratory
34D2015092
NC
Other
Enumeration date
11/01/2010
Last updated
11/16/2010
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