Organization
ELISA/ACT BIOTECHNOLOGIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL JAFFE MD (LAB DIRECTOR)
(703) 450-2980
Entity
Organization
Contact information
Practice address
109 CARPENTER DR, SUITE 100, STERLING, VA 20164-7115
(703) 450-2980
Mailing address
109 CARPENTER DR, SUITE 100, STERLING, VA 20164-7115
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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