| NPI | 1154035491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL THOMPSON Medical Laboratory Technician 757-726-7950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2026-03-11 |