| NPI | 1952348757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ARNOLD FISCHER Administrative Director 757-412-3273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 2005-108709-R) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |