Organization · NPI-2

Mobile Lab And Wellness

Clinical Medical Laboratory · Bowie, MD

NPI number1316829807
StatusActive
Last updated in NPPESJul 24, 2025

Details

NPI
1316829807
Entity type
Organization (NPI-2)
Legal business name
Mobile Lab And Wellness
Organization subpart
No
Enumeration date
Jul 24, 2025
Certification date
Jul 24, 2025
Last updated
Jul 24, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

12530 Fairwood Pkwy
Bowie, MD 20720-6356

Phone 443-935-8076

Mailing address

12530 Fairwood Pkwy
Bowie, MD 20720-6356

Authorized official

Danny Johnson
Owner
4439358076

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