| NPI | 1972909497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M SMITH President 757-594-2867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0101054006) |
| Additional Taxonomies | 207ZH0000X Pathology, Hematology (Licence: VA 0101054006) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2014-11-18 |