Organization
MID ATLANTIC LABORATORY SERVICES, LLC
Active
Other names
Midalabs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARDEN B. BOURGEOIS (MANAGING DIRECTOR/PINCIPAL)
(804) 334-1130
Entity
Organization
Contact information
Practice address
1610 FOREST AVE, SUITE 114, RICHMOND, VA 23229-5009
(804) 445-2940
(804) 445-2930
Mailing address
1610 FOREST AVE, SUITE 114, RICHMOND, VA 23229-5009
(804) 445-2940
(804) 445-2930
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
06/16/2010
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