| NPI | 1295773380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D PRATT President 540-428-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D0661031) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-12-14 |