Organization
CCC DIAGNOSTICS, LLC
Active
Organization
CCC DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL O.P. TS'O PH.D. (FOUNDER AND MANAGING DIRECTOR)
(410) 633-3570
Entity
Organization
Contact information
Practice address
3918 VERO ROAD, SUITE B, BALTIMORE, MD 21227-1522
(410) 633-3570
Mailing address
P.O. BOX 7467, BALTIMORE, MD 21227-7467
(410) 633-3570
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1274
MD
Other
Enumeration date
10/31/2008
Last updated
10/31/2008
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