Provider Demographics
NPI:1437598653
Name:DHMH LABORATORIES ADMINISTRATION
Entity Type:Organization
Organization Name:DHMH LABORATORIES ADMINISTRATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-767-6100
Mailing Address - Street 1:201 W PRESTON ST
Mailing Address - Street 2:LABORATORY TOWER
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-2301
Mailing Address - Country:US
Mailing Address - Phone:410-767-6100
Mailing Address - Fax:410-333-5403
Practice Address - Street 1:201 W PRESTON ST
Practice Address - Street 2:LABORATORY TOWER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-2301
Practice Address - Country:US
Practice Address - Phone:410-767-6100
Practice Address - Fax:410-333-5403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-20
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD21D0649758291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory