| NPI | 1760576607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P BROWN President 757-285-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D0889263) |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-06-28 |