Organization
DIAGNOSTIC LAB OF SOUTHERN MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEAIRA MILBURN (OWNER/PROVIDER)
(240) 925-9449
Entity
Organization
Contact information
Practice address
3985 SAINT CHARLES PKWY STE 200E, WALDORF, MD 20602-2683
(240) 538-8571
(240) 607-7229
Mailing address
3828 LAKEWOOD PL, WALDORF, MD 20602-1429
(240) 538-8571
(240) 607-7229
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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