Organization
FPA PROFESSIONAL LAB SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL SENNESH (PRESIDENT)
(703) 776-2460
Entity
Organization
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-1110
Mailing address
PO BOX 222541, CHANTILLY, VA 20153-2541
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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