| NPI | 1740408418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OGBOLU Owner 410-383-4615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 21D0918551) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |