| NPI | 1740631605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BOSTWICK Owner 804-915-3845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800028179) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |