| NPI | 1316282700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MUNTEAN Member/Administrator 410-262-3853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OH 36D2050500) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2018-10-17 |