Organization
NORTHERN VIRGINIA LABORATORY
Active
Other names
Northern Virginia Laboratory LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA B MADDUX (OWNER/MANAGER)
(703) 207-7072
Entity
Organization
Contact information
Practice address
4660 KENMORE AVE, ALEXANDRIA, VA 22304-1313
(703) 207-7072
(703) 207-7074
Mailing address
8422 GIRVAN CT, MANASSAS, VA 20109
(703) 207-7072
(703) 207-7074
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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