Mid Atlantic Laboratory Services, LLC
Clinical Medical Laboratory in Richmond, VA. Organization (NPI-2).
NPI number1114246766
StatusActive
Last updated in NPPESJun 16, 2010
Details
- NPI
- 1114246766
- Entity type
- Organization (NPI-2)
- Legal business name
- Mid Atlantic Laboratory Services, LLC
- Organization subpart
- No
- Enumeration date
- May 21, 2010
- Last updated
- Jun 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Other names
- Midalabs (Doing Business As)
Practice location
1610 Forest AveSuite 114
Richmond, VA 23229-5009
Phone 804-445-2940 · Fax 804-445-2930
Mailing address
1610 Forest AveSuite 114
Richmond, VA 23229-5009
Phone 804-445-2940 · Fax 804-445-2930
Authorized official
Arden B. Bourgeois
Managing Director/Pincipal
8043341130
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