| NPI | 1356094551 |
|---|---|
| Doing Business As | SHALOM DESTINY DIAGNOSTIC LAB |
| Entity Type | Organization |
| Authorized Contact | NICOLA C. BARKSDALE Laboratory Director 434-483-4351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2024-06-18 |