| NPI | 1619110475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEHSIN ANJUM Owner 804-901-1087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician (Licence: VA S287380) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |