VENUGOPAL R AMBEKAR
Individual Provider (NPI-1)
Active
Clinical Medical Laboratory
Provider Information
- NPI Number
1013711860- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 42775 GENERATION DR STE 100, ASBHURN, VA, 20147
- Phone
- (571) 380-9944
- Fax
- (571) 380-9934
Specialties & Taxonomies
Clinical Medical Laboratory
Primary License: VA #49D2293792