| NPI | 1427567478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WALLACE Practice Admin 703-257-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2017-09-21 |