| Name | Value |
|---|---|
| PROVIDER TYPE | Laboratories |
| CLASSIFICATION | Military Clinical Medical Laboratory |
| DEFINITION | A Department of Defense (DoD) medical clinical reference laboratory not associated with a DoD Hospital or DoD Clinic. An example is the Armed Forces Institute of Pathology. |
| STATUS | Active |
| X12 CODE | 291900000X |
| SPECIALTY CODE | B4 |
| INDIVIDUAL/NON | NON-INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5252723 |
| EFFECTIVE DATE/TIME |
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