Organization
MY LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATHELIA RICE CCMA (OWNER & OPERATOR)
(256) 417-0303
Entity
Organization
Contact information
Practice address
1108 E MAIN ST STE 906, RICHMOND, VA 23219-3534
(256) 417-0303
Mailing address
6803 CASTLETON DR, FREDERICKSBURG, VA 22407-2582
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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