Healthcare Provider Details

I. General information

NPI: 1205955366
Provider Name (Legal Business Name): PARASITOLOGY LABORATORY OF WASHINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 K ST NW SUITE 408
WASHINGTON DC
20037-1810
US

IV. Provider business mailing address

2141 K ST, NW SUITE 408
WASHINGTON DC
20037
US

V. Phone/Fax

Practice location:
  • Phone: 202-331-0287
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateDC

VIII. Authorized Official

Name: MARTIN S. WOLFE
Title or Position: DIRECTOR
Credential: M.D.
Phone: 202-331-0287