NPI 1114246766

Mid Atlantic Laboratory Services, LLC

Organisation Clinical Medical Laboratory Richmond, VA

Practice location

Address: 1610 Forest Ave Suite 114, Richmond, VA 23229-5009
Phone: (804) 445-2940
Fax: (804) 445-2930

Authorised official

Name: Arden B. Bourgeois
Title: Managing Director/Pincipal
Phone: (804) 334-1130

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Virginia →

Registry record

NPI: 1114246766
Entity type: Organization
NPI issued: 21 May 2010
Record last updated: 16 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.