| NPI | 1841793445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GILLESPIE Clinical Director 410-336-0160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 21D2137469) |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2024-01-23 |