Provider Demographics
NPI:1891022877
Name:CATHOLIC HEALTH INITIATIVES
Entity Type:Organization
Organization Name:CATHOLIC HEALTH INITIATIVES
Other - Org Name:CENTER FOR TRANSLATIONAL RESEARCH
Other - Org Type:Other Name
Authorized Official - Title/Position:NATIONAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:OTTO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD MBA
Authorized Official - Phone:410-337-1902
Mailing Address - Street 1:7601 OSLER DR
Mailing Address - Street 2:AMBULATORY BUILDING, 2ND FLOOR
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7700
Mailing Address - Country:US
Mailing Address - Phone:410-427-2586
Mailing Address - Fax:410-337-1394
Practice Address - Street 1:7601 OSLER DR
Practice Address - Street 2:AMBULATORY BUILDING, 2ND FLOOR
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7700
Practice Address - Country:US
Practice Address - Phone:410-427-2586
Practice Address - Fax:410-337-1394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD090231291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory