Organization
CLINICAL DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIYA S PFEFFER MD (OWNER)
(410) 687-4400
Entity
Organization
Contact information
Practice address
6918 RIDGE RD, BALTIMORE, MD 21237-3854
(410) 687-4400
(410) 687-4495
Mailing address
6918 RIDGE RD, BALTIMORE, MD 21237-3854
(410) 687-4400
(410) 687-4495
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
D35410
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
713400200
—
MD
Enumeration date
10/16/2006
Last updated
11/29/2007
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