NPI 1558750877

Encephalon Neurodiagnostics

Organisation Physiological Laboratory Sterling, VA

Practice location

Address: 46715 Westover Ter, Sterling, VA 20165-7506
Phone: (571) 206-7311

Authorised official

Name: Wesley McMillan
Title: Chief Operating Officer
Phone: (571) 206-7311

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X Licence S5386612 (VA)

Other Physiological Laboratory providers in Virginia →

Registry record

NPI: 1558750877
Entity type: Organization
NPI issued: 12 Jan 2015
Record last updated: 15 Jan 2015

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.