Organization
AG LAB SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATEEYA GRAY (OWNER)
(443) 249-3405
Entity
Organization
Contact information
Practice address
137 LOG CANOE CIR, STEVENSVILLE, MD 21666-2127
(443) 249-3405
(443) 249-3123
Mailing address
137 LOG CANOE CIR, STEVENSVILLE, MD 21666-2127
(443) 249-3405
(443) 249-3123
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
01/29/2024
Last updated
02/19/2024
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