| NPI | 1538753181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FOX Owner 571-206-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-27 |