| NPI | 1588863385 |
|---|---|
| Other Name | PEDIATRIC DEPARTMENT LABORATORY |
| Entity Type | Organization |
| Authorized Contact | OTIS W. BLACKWOOD Practice Administrator 540-772-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-08-22 |