| NPI | 1750669065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADREA MICHELLE WITHERSPOON CEO 443-413-1144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy (Licence: MD 20-0229R04) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |