Lightmicron Diagnostics, Llc

NPI 1073621504 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1073621504
Enumeration Date 08/25/2006
Last Updated 11/12/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DOUG DOUG
Position DIRECTOR
Phone (703) 281-5970
Fax
Practice Location
10347 DEMOCRACY LANE
B
FAIRFAX VA, 22030, US
Phone (703) 281-5970
Fax
Business Location
PO BOX 1447
FAIRFAX VA, 22038-1447, US
Phone (703) 281-5970
Fax
Toxanomy
Taxonomy Code 291U00000X
License State Virginia
License Number 0401004979
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According to our database, Lightmicron Diagnostics, Llc NPI is 1073621504, taxonomy code is 291U00000X and license number is 0401004979, license state is located at Virginia. Lightmicron Diagnostics, Llc physically located at 10347 Democracy Lane, Fairfax VA, 22030. NPI Number 1033115704 has the healthcare provider type.

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1073621504 NPI number is provided on an as is basis without warranty of any kind. 1073621504 is maintained by the National Plan & Provider Enumeration System. The contents of Lightmicron Diagnostics, Llc are for informational purposes only.