| NPI | 1700984788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY GRIFFIN Senior Director PFS 410-543-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MD 22003) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MD 21D0221168) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-11-16 |