| NPI | 1427585850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM WIREMAN CEO/President 443-610-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 21D2002690) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |