Organization
VIRGINIA LABORATORY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARITZA ROMERO-GUTIERREZ MD (PRESIDENT)
(540) 829-4153
Entity
Organization
Contact information
Practice address
501 SUNSET LN, CULPEPER, VA 22701-3917
(540) 829-4153
Mailing address
9834 BUSINESS WAY, MANASSAS, VA 20110-4151
(037) 257-1440
(703) 257-4337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073626743
NPI GROUP
VA
Enumeration date
08/16/2006
Last updated
10/04/2018
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