Organization · NPI-2

Outreach Recovery II, LLC

Clinical Medical Laboratory · Bowie, MD

NPI number1730745290
StatusActive
Last updated in NPPESMar 5, 2020

Details

NPI
1730745290
Entity type
Organization (NPI-2)
Legal business name
Outreach Recovery II, LLC
Organization subpart
No
Enumeration date
May 10, 2019
Certification date
Mar 5, 2020
Last updated
Mar 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
291U00000X Clinical Medical Laboratory––Yes

Practice location

4201 Northview Dr Ste 104
Bowie, MD 20716-2604

Phone 410-800-4466

Mailing address

4201 Northview Dr Ste 104
Bowie, MD 20716-2604

Phone 410-800-4466

Other practice locations

2568 Riva Rd Ste 203
Annapolis, MD 21401-7405

Phone 561-502-3978

211 Virginia Ave
Cumberland, MD 21502-3954

Phone 877-889-4829

1115 Main St
Darlington, MD 21034-1405

Phone 410-800-4466

1110 Benfield Blvd Ste H
Millersville, MD 21108-2644

Phone 877-889-4829

21 Industrial Park Dr # 203g107
Waldorf, MD 20602-2751

Phone 410-429-8690

Authorized official

Isiah Coles
Coo
5615023978

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