| NPI | 1538618632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM G KEARNS President 301-358-3564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QG0250X |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2019-04-02 |