| NPI | 1851990568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATWAN BLACK CEO 301-388-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |