| NPI | 1316069115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEARNS Director 301-340-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 1107) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |