| NPI | 1528064045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHLA MOSHIRI Medical Director 410-560-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 027547D) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2010-12-28 |