| NPI | 1366158719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAIRA MILBURN Owner/Provider 240-925-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-01-30 |