| NPI | 1952680308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J HARDY President 434-799-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: VA 0101017161) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: VA 0101055196) |
| 291U00000X Clinical Medical Laboratory (Licence: VA 0101030846) | |
| 291U00000X Clinical Medical Laboratory (Licence: VA 0101017703) | |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |