| NPI | 1528793551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE VAUGHAN Director 410-296-5070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2022-07-22 |