Organization
IMMUNITY CARE LLC
Active
Organization
IMMUNITY CARE LLC
Active
Parent organization
IMMUNITY CARE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMMUNITY CARE LLC
Authorized official
TRAVIS LOUALLEN (HR)
(832) 754-6495
Entity
Organization
Contact information
Practice address
750 MAIN ST FL 2, REISTERSTOWN, MD 21136-2515
(832) 754-6496
Mailing address
750 MAIN ST FL 2, REISTERSTOWN, MD 21136-2515
(832) 754-6496
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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