Individual
VENUGOPAL R AMBEKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42775 GENERATION DR, STE 100, ASBHURN, VA 20147
(571) 380-9944
(571) 380-9934
Mailing address
4500 DALY DR STE 240, CHANTILLY, VA 20151-3725
(571) 380-9944
(571) 380-9934
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D2293792
VA
Other
Enumeration date
04/02/2025
Last updated
07/15/2025
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