Organization
AMS VIRGINIA LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE MCCOMMON (OFFICE MANAGER)
(866) 787-8219
Entity
Organization
Contact information
Practice address
919 E MAIN ST STE 1000, RICHMOND, VA 23219-4623
(866) 787-8219
Mailing address
166 HARGRAVES DR # C400-235, AUSTIN, TX 78737-4796
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D2219684
CLIA
VA
Enumeration date
05/13/2021
Last updated
05/13/2021
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