Organization
COMPLETE MOBILE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSALIE LORETTA BURNITE (OWNER)
(410) 452-5372
Entity
Organization
Contact information
Practice address
3309 DEER HILL RD, STREET, MD 21154
(410) 452-5372
Mailing address
PO BOX 28, FOREST HILL, MD 21050
(410) 452-5372
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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