| NPI | 1073059515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH A MERRITT Owner 301-860-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 090266) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-06-04 |