| NPI | 1194900142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE ELLIS Assistant Director 301-451-7441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC C005307) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |