NPI 1114462934

Daily Lab Sources

Organisation Clinical Medical Laboratory Greensboro, NC

Practice location

Address: 2838 S Elm Eugene St Suite 205, Greensboro, NC 27406-4410
Phone: (704) 953-9432

Authorised official

Name: Tyrell Timothy Fulwood
Title: Owner
Phone: (704) 953-9432

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in North Carolina →

Registry record

NPI: 1114462934
Entity type: Organization
NPI issued: 3 Jan 2017
Record last updated: 3 Jan 2017

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.