| NPI | 1740093426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEABORN WADE Managing Partner 804-673-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 291U00000X Clinical Medical Laboratory | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207U00000X Nuclear Medicine | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085R0203X Radiology, Therapeutic Radiology | |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-09-02 |