| NPI | 1659812832 |
|---|---|
| Other Name | NORTHERN VIRGINIA LABORATORY LLC |
| Entity Type | Organization |
| Authorized Contact | SANDRA B MADDUX Owner/Manager 703-207-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |