NPI 1003576018

McCorkle Laboratory Enterprise LLC

Organisation Clinic/Center Winston Salem, NC

Practice location

Address: 500 W 5th St STE 800, Winston Salem, NC 27101-3131
Phone: (336) 800-5227

Authorised official

Name: Tyria McCorkle
Title: Ceo
Phone: (336) 800-5227

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in North Carolina →

Registry record

NPI: 1003576018
Entity type: Organization
NPI issued: 19 Dec 2021
Record last updated: 19 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.