| NPI | 1528494994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEIFU SERTSE Manager 703-436-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 202857) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |