| NPI | 1104901313 |
|---|---|
| Other Name | BRADDOCK MEDICAL GROUP LABORATORY |
| Entity Type | Organization |
| Authorized Contact | THOMAS E CHAPPELL Medical Director 301-722-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 830420) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-09-16 |