NPI 1376853341

Chantilly Specialists, LTD. of Virginia

Organisation Clinical Medical Laboratory Chantilly, VA

Practice location

Address: 14121 Parke Long CT Suite 112, Chantilly, VA 20151-1647
Phone: (571) 251-5471
Fax: (703) 378-4909

Authorised official

Name: Paul P Boccone
Title: President
Phone: (571) 251-5471

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 49D2006729 (VA)

Other Clinical Medical Laboratory providers in Virginia →

Registry record

NPI: 1376853341
Entity type: Organization
NPI issued: 8 Oct 2010
Record last updated: 8 Oct 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.