| NPI | 1609938232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN R KOCHENDORFER Business Office Manager 703-289-1963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 19d0221993) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: VA 49d0886517) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |