| NPI | 1487767141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GARLAND President 757-562-2684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: VA CLIA #49D0230995) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2008-07-11 |