| NPI | 1205622610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN NWACHUKWU Director 410-864-5693 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QX0100X Clinic/Center Occupational Medicine |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-08-13 |