Organization
CHESTER RIVER HEALTH LAB
Active
Parent organization
CHESTERRIVER HOSPITAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESTERRIVER HOSPITAL CENTER
Authorized official
MRS. CARDELLA TRYTHALL FORRESTER (DIRECTOR, PATIENT FINANCIAL SERVICE)
(410) 810-5192
Entity
Organization
Contact information
Practice address
119C N MAIN ST, DOGWOOD PLAZA, GALENA, MD 21635-1555
(410) 648-6100
Mailing address
119C N MAIN ST, DOGWOOD PLAZA, GALENA, MD 21635-1555
(410) 648-6100
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D022037
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000265800
—
MD
Enumeration date
08/25/2011
Last updated
08/25/2011
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