| NPI | 1871512053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADY I SHARARA Medical Director 703-437-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 49D0995390) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |