Capitol Dermatopathology, L.L.C.
Clinical Medical Laboratory in Rockville, MD. Organization (NPI-2).
NPI number1689809386
StatusActive
Last updated in NPPESMay 25, 2009
Details
- NPI
- 1689809386
- Entity type
- Organization (NPI-2)
- Legal business name
- Capitol Dermatopathology, L.L.C.
- Organization subpart
- No
- Enumeration date
- May 25, 2009
- Last updated
- May 25, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 21D1099518 | MD | Yes |
Other names
- Capitol Dermatopathology Laboratory (Other Name)
Practice location
119 Autumn Wind WayRockville, MD 20850-2872
Phone 240-750-0285
Mailing address
119 Autumn Wind WayRockville, MD 20850-2872
Phone 240-750-0285
Authorized official
Chyi-Chia Richard Lee
Owner And Medical Director
2403286818
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