| NPI | 1932312501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAHADOR MOMENI Director 410-729-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 1379) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-04-16 |