Legacy Treatment Center
Legacy Treatment Center is a Clinical Medical Laboratory in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2013.
- Licensed in
- NC
- In the registry since
- 2013
Practice location Address checks out
4421 Stuart Andrew Blvd Ste 608Charlotte, NC 28217-1589
Phone: (704) 405-0908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 34D2055755 (NC) |
|---|
Record details
| NPI number | 1578904603 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Iacullo — Director · (561) 715-9288 |
| NPI enumerated | July 17, 2013 |
| Last updated in NPPES | July 17, 2013 |
| Mailing address | 4421 Stuart Andrew Blvd, Suite 608, Charlotte, NC 28217-1589 |
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