| NPI | 1295042968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN CADACIO Owner/ Manager 757-962-4863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 1017026) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |