| NPI | 1013971126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE ANTHONY WERNESS President 703-391-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101049095) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: VA MD0101042785) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-01-15 |