| NPI | 1710588074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANDA CALDWELL Laboratory Director 757-971-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2026-04-06 |