| NPI | 1194427021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BORNITT TACAVAKIDES ARCHER Owner 443-722-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology Medical Laboratory |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-08-11 |