| NPI | 1104380658 |
|---|---|
| Former Legal Business Name | CONCEPTION LAB, INC. |
| Entity Type | Organization |
| Authorized Contact | OLUYEMISI ADESANYA FAMUYIWA President 301-804-0005 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-30 |