Healthcare Provider Details

I. General information

NPI: 1386780245
Provider Name (Legal Business Name): WINCHESTER WOMEN'S SPECIALISTS - LAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 AMHERST ST SUITE 2E
WINCHESTER VA
22601-2873
US

IV. Provider business mailing address

1870 AMHERST ST SUITE 2E
WINCHESTER VA
22601-2873
US

V. Phone/Fax

Practice location:
  • Phone: 540-667-4546
  • Fax: 540-667-6893
Mailing address:
  • Phone: 540-667-4546
  • Fax: 540-667-6893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JOHN LOWDER
Title or Position: PARTNER
Credential: MD
Phone: 540-667-4546