Organization
MEDICAL DIAGNOSIS AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED G AWAD (LABORATORY GENERAL MANAGER)
(410) 321-0662
Entity
Organization
Contact information
Practice address
300 E JOPPA ROAD, SUITE 319, TOWSON, MD 21286
(410) 321-0662
(410) 296-1011
Mailing address
300 E JOPPA ROAD, SUITE 319, TOWSON, MD 21286
(410) 321-0662
(410) 296-1011
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
263
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39940101
BCBS
—
01
—
T1240001
FED BCBS
—
Enumeration date
01/29/2007
Last updated
08/22/2020
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