NPI 1164350427

Idc LLC

Organisation Clinical Medical Laboratory Norfolk, VA

Practice location

Address: 150 W Brambleton Ave APT 512, Norfolk, VA 23510-2056
Phone: (713) 766-2796

Authorised official

Name: Charles Carothers
Title: Ceo
Phone: (713) 766-2796

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Virginia →

Registry record

NPI: 1164350427
Entity type: Organization
NPI issued: 8 May 2026
Record last updated: 8 May 2026

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.