Organization
CAPITAL DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN DOUGLAS (FOUNDER)
(803) 639-8633
Entity
Organization
Contact information
Practice address
3000 ATRIUM WAY, SUITE 109, MOUNT LAUREL, NJ 08054-3909
(803) 639-8633
Mailing address
3000 ATRIUM WAY, SUITE 109, MOUNT LAUREL, NJ 08054-3909
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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