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Organization

TRI-STATE HEALTH LABORATORY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUHAMMED A NIAZ MD (MANAGING MEMBER)
(302) 368-2563
Entity
Organization

Contact information

Practice address
107 N BRIDGE ST, ELKTON, MD 21921-5326
(410) 392-6408
(410) 392-6409
Mailing address
107 N BRIDGE ST, ELKTON, MD 21921-5326
(410) 392-6408
(410) 392-6409

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
12/20/2018
Last updated
12/20/2018
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