| NPI | 1043636608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MUSEMBI General Manager 301-657-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center Occupational Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| 291U00000X Clinical Medical Laboratory (Licence: MD 1538477971) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2020-11-18 |