Organization
LIGHTMICRON DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG ARENDT DDS,MS (DIRECTOR)
(703) 281-5970
Entity
Organization
Contact information
Practice address
10347 DEMOCRACY LANE, B, FAIRFAX, VA 22030
(703) 281-5970
Mailing address
PO BOX 1447, FAIRFAX, VA 22038-1447
(703) 281-5970
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
0401004979
VA
Other
Enumeration date
08/25/2006
Last updated
11/12/2015
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