| NPI | 1104868512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL MERRIT JAFFE President/ CEO 703-788-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D0668056) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |