Organization · Type 2 NPI

Triad Reference Laboratory, LLC

Clinical Medical Laboratory · Wilmington, NC

NPI number 1003575671 Active

Practice location

201 N Front St Ste LL101
Wilmington, NC 28401-0009

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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NPI record

NPI: 1003575671
Entity type: Organization (Type 2)
Issued: Dec 10, 2021
Last updated: Sep 14, 2022
Status: Active

Other names

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Triad Reference Laboratory, LLC · former legal business name
Triad Reference Laboratory, LLC · former legal business name

Authorized official

David Bolton, LPC
Owner
(336) 202-5318

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003575671

Triad Reference Laboratory, LLC's National Provider Identifier is 1003575671, issued on Dec 10, 2021. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Wilmington, NC. The record was last updated on Sep 14, 2022.