| NPI | 1619453966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIAN MAKIPOUR Medical Director 703-580-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2018-07-18 |
| Last Update Date | 2018-07-18 |