| Shalom Destiny Diagnostic Lab | |
|
221 Vandola Church Rd Danville VA 24541-7465 | |
| (434) 944-8511 | |
| Not Available |
| Full Name | Shalom Destiny Diagnostic Lab |
|---|---|
| Speciality | Clinic/center |
| Location | 221 Vandola Church Rd, Danville, Virginia |
| Authorized Official Name and Position | Nicola Carter (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4349448511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Destiny Diagnostic Lab 221 Vandola Church Rd Danville VA 24541-7465 Ph: (434) 944-8511 | Shalom Destiny Diagnostic Lab 221 Vandola Church Rd Danville VA 24541-7465 Ph: (434) 944-8511 |
| NPI Number | 1356094551 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356094551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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