| NPI | 1720163876 |
|---|---|
| Other Name | ACADEMIC DEPT |
| Entity Type | Organization |
| Authorized Contact | RICK EUGENE BRINEGAR Director Prfoessional Fees 410-328-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD AFP 723) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MD 723) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-08-04 |