| NPI | 1073621504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG ARENDT Director 703-281-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 0401004979) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2015-11-12 |