| NPI | 1770164527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY BRENT Owner 571-424-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 246R00000X Technician, Pathology |
| 247ZC0005X Pathology, Clinical Laboratory Director, Non-physician | |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-04-14 |