| NPI | 1780303594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKIA JANEL GAINES Laboratory Director 804-896-6177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207SM0001X Medical Genetics Molecular Genetic Pathology |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-09-18 |