| NPI | 1487105169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMERALD OSULLIVAN-MEJIA Owner 703-257-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101244383) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-12-22 |