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Organization

LIFELABS LLC

Active
Other names
None
Organization subpart
No

Provider details

NPI number
Authorized official
MUSBAU ENITAN (OPERATION MANAGER)
(202) 415-3723
Entity
Organization

Contact information

Practice address
40 SAINT ADAMS DR, STAFFORD, VA 22556-3661
(202) 415-3723
Mailing address
40 SAINT ADAMS DR, STAFFORD, VA 22556-3661
(202) 415-3723

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
11/13/2023
Last updated
11/13/2023
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