Organization
SOUTHERN MARYLAND HOSPITAL CENTER LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERRI BAKHTIARY (OUTREACH COORDINATOR)
(301) 877-4867
Entity
Organization
Contact information
Practice address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 877-4867
(301) 868-0757
Mailing address
7503 SURRATTS RD, CLINTON, MD 20735-3358
(301) 877-4867
(301) 868-0757
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
16-025
MD
291U00000X
Clinical Medical Laboratory
Primary
277
MD
Other
Enumeration date
03/15/2007
Last updated
07/20/2007
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