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Organization

PERSONAL DIAGNOSTIX INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ZHIFENG LONG (PRESIDENT)
(301) 305-2689
Entity
Organization

Contact information

Practice address
6734 CURRAN ST, MCLEAN, VA 22101-3803
(703) 349-1979
Mailing address
6734 CURRAN STREET, MCLEAN, VA 22101-3803
(703) 349-1979

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
49D2080603
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
49D2080603
CMS CLIA ID NUMBER
VA
Enumeration date
08/06/2015
Last updated
08/06/2015
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