Organization
FRIENDS MEDICAL LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRON E. SHIPLET (VICE PRESIDENT)
(410) 247-4417
Entity
Organization
Contact information
Practice address
5820 SOUTHWESTERN BLVD, BALTIMORE, MD 21227-4402
(410) 247-4417
(410) 247-4426
Mailing address
5820 SOUTHWESTERN BLVD, BALTIMORE, MD 21227-4402
(410) 247-4417
(410) 247-4426
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
168
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10034653
—
DE
05
—
439938200
—
MD
Enumeration date
06/05/2006
Last updated
02/02/2015
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