| NPI | 1528465929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA A HILL Manager 571-375-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2020-04-13 |