| NPI | 1861148652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY CECILIA PARKER WAUGH Owner 443-399-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-07-14 |