NPI | 1427298629 |
---|---|
Other Name | TIDALHEALTH FAMILY LAB |
Entity Type | Organization |
Authorized Contact | MICKEY M GRIFFIN Director, PFS 410-543-7437 |
Organization Subpart ? | No |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 22-003) |
Enumeration Date | 2009-02-27 |
Last Update Date | 2020-11-16 |