Organization
RECOVERY FOR LIFE
Active
Organization
RECOVERY FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS SPATH (OWNER)
(410) 276-2212
Entity
Organization
Contact information
Practice address
3719 E BALTIMORE ST, BALTIMORE, MD 21224-1509
(410) 276-2212
Mailing address
3719 E BALTIMORE ST, BALTIMORE, MD 21224-1509
(410) 276-2212
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
160233
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
422980100
—
MD
Enumeration date
02/23/2017
Last updated
02/23/2017
Update your record
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