| NPI | 1891152096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN J SHOCKLEY Medical Director 202-489-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 150108) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |