; NPI #1801549845

Contact Information

TODD B GRAHAM

18807 DUNKIRK DR APT 1
ST. ALBANS, NY 11412-3002

Phone: 646-436-0201
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Military Clinical Medical Laboratory	291900000X	B4[14]	Histocompatibility Laboratory

Indicates primary specialty

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NPI Profile & details for

NPI Number 1801549845

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 01/31/2022

Last updated 01/31/2022 - About 4 years ago

Identifiers

License #

014175

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Contact Information

Specialty

Military Clinical Medical Laboratory

NPI Profile & details for

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