Organization
NOVA DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL POBLETE (AUTHORIZED OFFICIAL)
(833) 472-7438
Entity
Organization
Contact information
Practice address
2132 WISCONSIN AVE NW, WASHINGTON, DC 20007-2231
(833) 472-7438
Mailing address
2132 WISCONSIN AVE NW, WASHINGTON, DC 20007-2231
(833) 472-7438
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
03/12/2022
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