| NPI | 1689629255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE FLEMING MCCLATCHEY Administrator 703-580-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009192) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: VA 49D1010340) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-10-03 |