| NPI | 1598748139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS W MATT Scientific Director 804-323-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D0952200) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-22 |