Organization
SUBURBAN HOSPITAL, INC.
Active
Parent organization
SUBURBAN HOSPITAL, INC.
Other names
Suburban Hospital Outreach Services Microbiology Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUBURBAN HOSPITAL, INC.
Authorized official
MR. BRIAN A GRAGNOLATI (PRESIDENT)
(301) 896-2574
Entity
Organization
Contact information
Practice address
6410 ROCKLEDGE DR, SUITE 150, BETHESDA, MD 20817-1809
(301) 896-6002
(301) 230-1927
Mailing address
PO BOX 79216, BALTIMORE, MD 21279-0216
(301) 896-6002
(301) 230-1927
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/08/2010
Last updated
10/15/2010
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