Organization · NPI-2

Notal Vision INC

Physiological Laboratory · Manassas, VA

NPI number1619347408
StatusActive
Last updated in NPPESMar 23, 2023

Details

NPI
1619347408
Entity type
Organization (NPI-2)
Legal business name
Notal Vision INC
Organization subpart
No
Enumeration date
Oct 6, 2015
Certification date
Mar 20, 2023
Last updated
Mar 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
293D00000X Physiological Laboratory––Yes

Practice location

7717 Coppermine Dr
Manassas, VA 20109-2506

Phone 877-322-2207 · Fax 888-341-9400

Mailing address

7717 Coppermine Dr
Manassas, VA 20109-2506

Phone 877-322-2207 · Fax 888-341-9400

Authorized official

Barbara Marie Benedict
Vp, Strategy & Operations
8889102020

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