Maryland Success Academy LLC
NPI #1295344505 in Randallstown, Maryland
Provider Information
- NPI Number
- 1295344505
- Entity Type
- Organization
- Organization Name
- Maryland Success Academy LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 23, 2020
- Last Updated
- Oct 26, 2021
Practice Location
- Address
- 9854 LIBERTY RD
- Address 2
- SUITE E
- City
- Randallstown
- State
- Maryland
- ZIP Code
- 21133-2113
- Phone
- (443) 353-9729
Authorized Official
- Name
- JENNIFER HUBBARD
- Title
- PRESIDENT
- Phone
- (443) 353-9729
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
| Clinical Medical Laboratory |
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