NPI | 1902971849 |
---|---|
Doing Business As | SHADY GROVE MEDICAL LABORATORY |
Entity Type | Organization |
Authorized Contact | COLLEEN SWINTON Credentialing Director 301-257-2797 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2006-11-22 |
Last Update Date | 2025-10-10 |