| NPI | 1932783883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA SHIRLVETTE JONES Owner/Phlebotomist 757-943-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |