| NPI | 1225757727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB S VALENTIN Owner 757-302-5663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |