NPI 1114684941

Columbus Regional Diagnostics

Organisation Physiological Laboratory Leland, NC

Practice location

Address: 509 Olde Waterfordway Suite 104, Leland, NC 28451
Phone: (910) 640-4380
Fax: (910) 399-4353
Mailing address: 500 Jefferson St, Whiteville, NC 28472-3634

Authorised official

Name: Kimberly Jeffery Gore
Title: Chief Financial Officer
Phone: (191) 064-0406

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in North Carolina →

Registry record

NPI: 1114684941
Entity type: Organization
NPI issued: 29 Nov 2021
Record last updated: 27 Jan 2023

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.