PRIME DIAGNOSTICS
Medical Laboratory at Forbes Blvd, Lanham, MD

License number
Maryland 21-D1057808
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MS. SUJWALA PUTTAGUNTA BOPPUDI MS, MBA
Title: PRESIDENT
Phone: (301) 459-5200
Address
Address 2
4300 Forbes Blvd, Lanham, MD 20706
4451 Brookfield Corporate Dr STE 205, Fairfax, VA 20151
National Provider ID: 1316979701
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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