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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