| NPI | 1174529754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J RANBERGER President 703-361-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: VA 0024164317) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2016-10-27 |