| Four Corners Testing LLC | |
|
301 S Mcdowell Street, Suite 125 - 1652 Charlotte NC 28204 | |
| (704) 802-2258 | |
| Not Available |
| Full Name | Four Corners Testing LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 301 S Mcdowell Street, Suite 125 - 1652, Charlotte, North Carolina |
| Authorized Official Name and Position | Bryan Jones (PRINCIPAL) |
| Authorized Official Contact | 7048022258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Testing LLC 14150 Ne 20th St # F1-282 Bellevue WA 98007-3700 | Four Corners Testing LLC 301 S Mcdowell Street, Suite 125 - 1652 Charlotte NC 28204 Ph: (704) 802-2258 |
| NPI Number | 1376258665 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376258665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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