| NPI | 1811366792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA GHORBANI Medical Director 301-220-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 110074) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2016-07-01 |