| NPI | 1952465288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GRANGER BOSTWICK CEO, President, Chief Med. Officer 804-967-9225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-05-22 |