| NPI | 1467954966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY M BLOCKSTON Director Op 410-807-8579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 69333) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2020-11-20 |