| NPI | 1184026478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE LOUIS CVACH Director 410-225-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 1057) |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |