| NPI | 1104852573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FREDERICKS Vice President 703-222-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D0221827) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2013-01-10 |