Organization
IMPACT DIAGNOSTIC LAB & HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH A AKINFIRESOYE (OWNER/ADMINISTRATOR)
(215) 252-6748
Entity
Organization
Contact information
Practice address
7375 EXECUTIVE PL STE 222, LANHAM, MD 20706-2278
(215) 252-6748
Mailing address
8551 RITCHBORO RD, DISTRICT HEIGHTS, MD 20747-2646
(215) 252-6748
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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