Diagnostic Lab of Southern Maryland
Diagnostic Lab of Southern Maryland is a Health Service Clinic/Center in Waldorf, Maryland. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
3985 Saint Charles Pkwy Ste 200EWaldorf, MD 20602-2683
Phone: (240) 538-8571
Fax: (240) 607-7229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X |
Record details
| NPI number | 1366158719 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Teaira Milburn — Owner/Provider · (240) 925-9449 |
| NPI enumerated | January 30, 2023 |
| Last updated in NPPES | January 30, 2023 |
| Certification date | January 29, 2023 |
| Mailing address | 3828 Lakewood Pl, Waldorf, MD 20602-1429 |
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Southern Maryland Mobile Lab Services LLC
3965 Saint Charles Pkwy, Waldorf, MD 20602-2683 · (240) 538-8571