| NPI | 1710204425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEIFU TESHOME SERTSE Manager 703-436-1626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA MT-202857) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |