Organization
MARTHA JEFFERSON HOSPITAL
Active
Other names
MJ Reproductive Technology Lab
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT H KUIDA (VP/COO)
(434) 982-7326
Entity
Organization
Contact information
Practice address
595 PETER JEFFERSON PKWY, 3RD FLOOR, CHARLOTTESVILLE, VA 22911
(434) 982-8520
(434) 982-8530
Mailing address
595 PETER JEFFERSON PKWY, 3RD FLOOR, CHARLOTTESVILLE, VA 22911
(434) 982-8520
(434) 982-8530
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
186753
ANTHEM SERVICES
VA
Enumeration date
10/07/2006
Last updated
08/22/2020
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