Organization
SUNRISE LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANYA ODIM (CEO)
(919) 451-6337
Entity
Organization
Contact information
Practice address
708 HARTNESS RD, STATESVILLE, NC 28677-3425
(919) 451-6337
Mailing address
3500 WESTGATE DR STE 604, DURHAM, NC 27707-2534
(919) 451-6337
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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