| NPI | 1063373298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DEAN DIXON Owner 804-429-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QG0250X Clinic/Center, Genetics |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| 261QH0100X Clinic/Center, Health Services | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |