| NPI | 1124496161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MAHAN CFO 240-566-3355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 090064) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2020-01-24 |