| NPI | 1225783285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMAECHI ERONDU Director 443-414-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-02-18 |