| NPI | 1619937281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN FARMER President 757-439-2366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D1031423) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |