| NPI | 1003619925 |
|---|---|
| Other Name | CCLMS |
| Entity Type | Organization |
| Authorized Contact | MISHELLE LA ROSE Phleboto MIS T 240-206-1836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-05-14 |