Chesapeake Diagnostic Laboratory, INC.
Clinical Medical Laboratory in Cockeysville Hunt Valley, MD. Organization (NPI-2).
NPI number1528064045
StatusActive
Last updated in NPPESDec 28, 2010
Details
- NPI
- 1528064045
- Entity type
- Organization (NPI-2)
- Legal business name
- Chesapeake Diagnostic Laboratory, INC.
- Organization subpart
- No
- Enumeration date
- Jun 21, 2005
- Last updated
- Dec 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 027547D | MD | Yes |
Practice location
110 Old Padonia RdSte 301
Cockeysville Hunt Valley, MD 21030-4948
Phone 410-560-5800
Mailing address
110 Old Padonia RdSte 301
Cockeysville Hunt Valley, MD 21030-4948
Phone 410-560-5800
Authorized official
Shahla Moshiri
Medical Director
4105605800
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