Organization
EDERA L3C
Active
Other names
Edera L3C
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER OWENS (MANAGER)
(609) 216-2569
Entity
Organization
Contact information
Practice address
1730 PENNSYLVANIA AVE NW STE 875, WASHINGTON, DC 20006-4746
(202) 888-8404
Mailing address
1730 PENNSYLVANIA AVE NW STE 875, WASHINGTON, DC 20006-4746
(202) 888-8404
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
05/10/2023
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