Organization
DIAGENETICS OF FREDERICKSBURG
Active
Other names
DiaGenetics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL G STETKA PHD (PRESIDENT/DIRECTOR)
(540) 854-0125
Entity
Organization
Contact information
Practice address
32315 CONSTITUTION HWY, LOCUST GROVE, VA 22508-2707
(540) 854-0120
(540) 854-0126
Mailing address
PO BOX 2510, LOCUST GROVE, VA 22508-8510
(540) 854-0120
(540) 854-0126
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700
CARE FIRST BC/BS
DC
01
—
261261
ANTHEM BC/BS
VA
Enumeration date
07/26/2006
Last updated
08/22/2020
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