Organization
DOMINION LABORATORIES OF AMERICAN DLA LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEVIN WILLIAMS CRNA (AUTHORIZED OFFICIAL/OWNER)
(910) 491-5011
Entity
Organization
Contact information
Practice address
1220 WALTER REED RD STE 100, FAYETTEVILLE, NC 28304-4431
(910) 491-5011
(910) 491-2694
Mailing address
1220 WALTER REED RD STE 100, FAYETTEVILLE, NC 28304-4431
(910) 491-5011
(910) 491-2694
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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