| NPI | 1700874526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN SURIEL Medical Director 410-243-9710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 235) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |