Organization
SUNBLOOM TECH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRABHAKAR VARMA (VP)
(231) 343-8299
Entity
Organization
Contact information
Practice address
3266 W SPRINGS DR, ELLICOTT CITY, MD 21043-3270
(231) 355-8299
Mailing address
3266 W SPRINGS DR, ELLICOTT CITY, MD 21043-3270
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
45678914566
MD
293D00000X
Physiological Laboratory
—
—
Other
Enumeration date
04/05/2016
Last updated
07/21/2022
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