Organization
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Active
Parent organization
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROSPERITY MEDICAL AND HEALTH SYSTEM, LLC
Authorized official
MATHIAS C BAMA (OWNER)
(301) 837-8493
Entity
Organization
Contact information
Practice address
13922 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 483-3333
Mailing address
13922 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 483-3333
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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