| NPI | 1417317553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBTIHAJ AWADELKARIEM Technical Director 703-321-6502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 188023) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |