| NPI | 1164835823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MCCONNELL President & CEO 804-343-2718 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 17D1089651) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2015-04-20 |