Organization
SAM'S MEDICAL LABORATORY LLC
Active
Organization
SAM'S MEDICAL LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAN S LEE PH.D. (MEDICAL DIECTOR)
(301) 828-6854
Entity
Organization
Contact information
Practice address
19614 CLUB HOUSE RD, MONTGOMERY VILLAGE, MD 20886-3035
(301) 963-0519
(301) 963-0513
Mailing address
19614 CLUB HOUSE RD, MONTGOMERY VILLAGE, MD 20886-3035
(301) 963-0519
(301) 963-0513
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1790
MD
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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