| NPI | 1316979701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJWALA PUTTAGUNTA BOPPUDI President 301-459-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 21-D1057808) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-02-17 |