NPI 1043936297
Distinctive Diagnostics Laboratory
Practice location
- Address
- 1301 York Rd STE 800, Lutherville, MD 21093-6011
- Phone
- (800) 410-9508
- Fax
- (800) 410-9508
- Mailing address
- 1301 York Rd Fl 8, Lutherville, MD 21093-6035
Authorised official
- Name
- Staci Beasley
- Title
- Ceo/Owner
- Phone
- (717) 881-0575
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1043936297
- Entity type
- Organization
- NPI issued
- 18 Oct 2022
- Record last updated
- 30 Jan 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.