| NPI | 1154493534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PETER NIKICICZ President 804-862-5028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: VA VA0101047885) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2010-12-15 |