Mid Atlantic Laboratory Services, LLC

NPI #1114246766 in Richmond, Virginia

Provider Information

NPI Number
1114246766
Entity Type
Organization
Organization Name
Mid Atlantic Laboratory Services, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
May 21, 2010
Last Updated
Jun 16, 2010

Practice Location

Address
1610 FOREST AVE
Address 2
SUITE 114
ZIP Code
23229-5009
Phone
(804) 445-2940

Authorized Official

Name
MR. ARDEN B. BOURGEOIS
Title
MANAGING DIRECTOR/PINCIPAL
Phone
(804) 334-1130

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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