Organization
EAST COAST LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY BLOCKSTON (VP)
(410) 303-9923
Entity
Organization
Contact information
Practice address
10019 REISTERSTOWN RD STE 201, OWINGS MILLS, MD 21117-3950
(410) 690-3266
Mailing address
1825 WOODLAWN DR STE 204, BALTIMORE, MD 21207-4045
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21D2143145
CLIA
MD
Enumeration date
01/09/2018
Last updated
03/04/2019
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