| NPI | 1336616960 |
|---|---|
| Doing Business As | SAME AS ABOVE |
| Entity Type | Organization |
| Authorized Contact | NEELAM DEVRAJ ATIT Billing & Credentialing Admin 703-517-2429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2023-07-11 |