Chesapeake Dermatopathology & Dermatology, P.C.
Clinical Medical Laboratory in Norfolk, VA. Organization (NPI-2).
NPI number1619937281
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619937281
- Entity type
- Organization (NPI-2)
- Legal business name
- Chesapeake Dermatopathology & Dermatology, P.C.
- Organization subpart
- No
- Enumeration date
- Mar 27, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 49D1031423 | VA | Yes |
Practice location
580 Mowbray ArchNorfolk, VA 23507-2130
Phone 757-439-2366 · Fax 757-623-1580
Mailing address
580 Mowbray ArchNorfolk, VA 23507-2130
Phone 757-439-2366 · Fax 757-623-1580
Authorized official
Evan Farmer
President
7574392366
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