| NPI | 1740978576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAIRA GENEVA MILBURN CEO 240-925-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |