Organization
B&W STAT LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFTON NORRIS WEST JR. MT (PRESIDENT/CEO)
(202) 726-0842
Entity
Organization
Contact information
Practice address
3104 GEORGIA AVE NW, WASHINGTON, DC 20010-2902
(202) 726-0842
(202) 726-5214
Mailing address
3104 GEORGIA AVE NW, WASHINGTON, DC 20010-2902
(202) 726-0842
(202) 726-5214
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
09D0208053
DC
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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