| NPI | 1558750877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY MCMILLAN Chief Operating Officer 571-206-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: VA S5386612) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2015-01-15 |