NPI 1649398751

Professional Ultrasound & Imaging

Organisation Physiological Laboratory Whiteville, NC

Practice location

Address: 136 Memory Plz, Whiteville, NC 28472-2640
Phone: (910) 914-6154
Fax: (910) 914-6156
Mailing address: PO Box 434, Chadbourn, NC 28431-0434

Authorised official

Name: Christian Horton Lane
Title: Owner
Phone: (910) 620-9097

Registered specialties (2)

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence 279513 (NC)

Other Physiological Laboratory providers in North Carolina →

Radiologic Technologist

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 112625 (NC)

Other Radiologic Technologist providers in North Carolina →

Registry record

NPI: 1649398751
Entity type: Organization
NPI issued: 27 Mar 2007
Record last updated: 15 May 2015

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.