Organization
META LAB DX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON HAROL (AUTHORIZED OFFICIAL)
(860) 833-0489
Entity
Organization
Contact information
Practice address
9731 SOUTHERN PINE BLVD STE J, CHARLOTTE, NC 28273-5542
(980) 265-8157
Mailing address
9731 SOUTHERN PINE BLVD STE J, CHARLOTTE, NC 28273-5542
(980) 265-8157
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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