Organization
CYTODIAGNOSTICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN SURIEL M.D. (MEDICAL DIRECTOR)
(410) 243-9710
Entity
Organization
Contact information
Practice address
711 W 40TH ST, SUITE 355, BALTIMORE, MD 21211-2120
(410) 243-9710
Mailing address
711 W 40TH ST, BALTIMORE, MD 21211-2145
(410) 243-9710
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
235
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T4070001
BLUECROSS DC METRO/GHMSI
MD
Enumeration date
10/06/2005
Last updated
08/22/2020
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