Chantilly Specialists, Ltd. of Virginia

NPI #1376853341 in Chantilly, Virginia

Provider Information

NPI Number
1376853341
Entity Type
Organization
Organization Name
Chantilly Specialists, Ltd. of Virginia
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Oct 8, 2010
Last Updated
Oct 8, 2010

Practice Location

Address
14121 PARKE LONG CT
Address 2
SUITE 112
ZIP Code
20151-1647
Phone
(571) 251-5471

Authorized Official

Name
MR. PAUL P BOCCONE, J.D., LL.M.
Title
PRESIDENT
Phone
(571) 251-5471

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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