NPI 1164780045
Montgomery County Maryland Government
Practice location
- Address
- 255 Rockville Pike STE 145, Rockville, MD 20850-5136
- Phone
- (240) 777-4710
- Mailing address
- 401 Hungerford Dr Fl 6, Rockville, MD 20850-4154
Authorised official
- Name
- Jameelah Johnson
- Title
- Manager
- Phone
- (240) 733-1121
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1164780045
- Entity type
- Organization
- NPI issued
- 27 Apr 2012
- Record last updated
- 10 May 2024
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.