| NPI | 1740093426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEABORN WADE Managing Partner 804-673-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-01-28 |
| Last Update Date | 2025-01-29 |