# COMPLETE MOBILE DIAGNOSTICS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518256312
- **Authorized official:** MRS. ROSALIE LORETTA BURNITE (OWNER)
- **Authorized official phone:** (410) 452-5372

## Contact information

- **Practice address:** 3309 DEER HILL RD, STREET, MD 21154
- **Practice address phone:** (410) 452-5372
- **Mailing address:** PO BOX 28, FOREST HILL, MD 21050
- **Mailing address phone:** (410) 452-5372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 04/01/2011
- **Last updated:** 04/01/2011
