| NPI | 1851937981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL P. TANICO Owner 301-294-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| 207ZC0500X Pathology Cytopathology | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2024-05-01 |