| NPI | 1760004261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA DAVIS CEO 240-229-7043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2022-02-17 |