Organization
CHESAPEAKE CLINICAL LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMINA KOUSAR (MEMBER)
(443) 485-7183
Entity
Organization
Contact information
Practice address
131 S UNION AVE STE B, HAVRE DE GRACE, MD 21078-3138
(443) 502-1340
(443) 406-3731
Mailing address
131 S UNION AVE STE B, HAVRE DE GRACE, MD 21078-3138
(443) 502-1340
(443) 406-3731
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MD
Other
Enumeration date
05/23/2018
Last updated
05/30/2019
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