Organization
AMERICAN MEDICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM ANTAR (OWNER)
(949) 696-6157
Entity
Organization
Contact information
Practice address
14221-A WILLARD ROAD SUITE 200, CHANTILLY, VA 20151
(949) 696-6157
Mailing address
14221-A WILLARD ROAD SUITE 200, CHANTILLY, VA 20151
(949) 696-6157
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
04/25/2024
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