| Colony Diagnostics, Llc | |
|
11533 Busy St # 305 North Chesterfield VA 23236-4073 | |
| (540) 595-0795 | |
| Not Available |
| Full Name | Colony Diagnostics, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 11533 Busy St # 305, North Chesterfield, Virginia |
| Authorized Official Name and Position | Timothy Delong (NPI REPRESENTATIVE) |
| Authorized Official Contact | 2105982800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colony Diagnostics, Llc 11533 Busy St # 305 North Chesterfield VA 23236-4073 Ph: () - | Colony Diagnostics, Llc 11533 Busy St # 305 North Chesterfield VA 23236-4073 Ph: (540) 595-0795 |
| NPI Number | 1952828949 |
|---|---|
| Provider Enumeration Date | 08/29/2017 |
| Last Update Date | 11/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952828949 | NPI | - | NPPES |
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