| NPI | 1053488536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ELLIS Office Adminstrator 804-527-5337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-07-21 |