Organization
UNITED MEDICAL LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CHANG PH.D. (DIRECTOR)
(703) 356-4422
Entity
Organization
Contact information
Practice address
1980 GALLOWS RD, STE 300, TYSONS CORNER, VA 22182-3913
(703) 356-4422
(703) 356-2460
Mailing address
1980 GALLOWS RD, STE 300, TYSONS CORNER, VA 22182-3913
(703) 356-4422
(703) 356-2460
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
417
MD
291U00000X
Clinical Medical Laboratory
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004980743
—
VA
05
—
0312387 00
—
DC
01
—
275359
BC/BS, ANTHEM, FEP (RICHMOND)
VA
01
—
275360
BC/BS, ANTHEM (RICHMOND)
VA
05
—
469178400
—
MD
01
—
K093-0001
BC/BS, CAREFIRST, FEP
DC
Enumeration date
04/19/2006
Last updated
07/24/2014
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