| NPI | 1376853341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL P BOCCONE President 571-251-5471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D2006729) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |