| NPI | 1366776551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C HACKNEY President 410-225-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 026) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2009-09-22 |