| NPI | 1083957773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAN S LEE Medical Diector 301-828-6854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 1790) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |