| NPI | 1770669376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F DANIEL JACKSON Owner 301-759-3817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 939) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |