| NPI | 1346404753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL F HINE Director 540-741-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 0101029603) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2012-05-16 |