NPI 1184158826

Fresh Start Recovery Lab

Organisation Clinical Medical Laboratory Gaithersburg, MD

Practice location

Address: 15886 Gaither Dr, Gaithersburg, MD 20877-1404
Phone: (954) 234-2469
Fax: (954) 204-0464

Authorised official

Name: Cathy Picillo
Title: Office Manager
Phone: (954) 234-2469

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 21D2127826 (MD)

Other Clinical Medical Laboratory providers in Maryland →

Registry record

NPI: 1184158826
Entity type: Organization
NPI issued: 19 Apr 2017
Record last updated: 19 Apr 2017

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.