NPI 1033736822
Cannon Ridge Diagnostic, LLC
Practice location
- Address
- 11560 Nc 55 Hwy STE 7, Grantsboro, NC 28529-9447
- Phone
- (252) 242-0088
- Fax
- (252) 631-0340
- Mailing address
- 77 Magnolia Way, Grantsboro, NC 28529-9457
Authorised official
- Name
- Eric Cannon
- Title
- Owner
- Phone
- (252) 617-7974
Registered specialties
Phlebotomy Technician
Primary
Registry record
- NPI
- 1033736822
- Entity type
- Organization
- NPI issued
- 29 Jun 2020
- Record last updated
- 29 Jun 2020
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.