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Organization

INNOVATIVE DIAGNOSTIC LABORATORY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOANNA M HALSEY (GENERAL COUNSEL & CHIEF COMPLIANCE)
(804) 261-3341
Entity
Organization

Contact information

Practice address
8751 PARK CENTRAL DR, SUITE 200, RICHMOND, VA 23227-1157
(804) 986-3660
Mailing address
8751 PARK CENTRAL DR, SUITE 200, RICHMOND, VA 23227-1157
(804) 986-3660

Taxonomy

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

Other

Enumeration date
04/23/2013
Last updated
10/20/2015
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