| NPI | 1326172180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI BAKHTIARY Outreach COO Rdinator 301-877-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 277) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MD 16-025) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-20 |