| NPI | 1982109351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE K. MAHAN Sr. VP Finance And CFO 240-566-3337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MD 21D0692298) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2020-01-24 |