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Organization

PATRIOT MEDICAL LABORATORIES LLC

Active
Other names
Cian Diagnostics
Organization subpart
No

Provider details

NPI number
Authorized official
SOMBABU MULLAPUDI (OWNER/MANAGING MEMBER)
(240) 422-4164
Entity
Organization

Contact information

Practice address
5325 SPECTRUM DR, FREDERICK, MD 21703-7339
(240) 396-4343
(240) 396-4345
Mailing address
5325 SPECTRUM DR, FREDERICK, MD 21703-7339
(240) 396-4343
(240) 396-4345

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
21D2074025
MD

Other

Enumeration date
01/30/2014
Last updated
05/27/2024
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