Organization
STAT LAB TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEONNA HARRIS (LAB DIRECTOR)
(269) 830-5751
Entity
Organization
Contact information
Practice address
1502 SUMMIT OAK CT APT A, HENRICO, VA 23228-6236
(269) 830-5751
Mailing address
1502 SUMMIT OAK CT APT A, HENRICO, VA 23228-6236
(269) 830-5751
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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