IDEAL OPTION, PLLC
Organization (NPI-2)
Active
Clinical Medical Laboratory
Provider Information
- NPI Number
1972012599- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 19 FONTANA LN STE 108, ROSEDALE, MD, 212373097
- Phone
- (509) 222-1275
- Fax
- (509) 491-3031
Specialties & Taxonomies
Clinical Medical Laboratory
Primary License: MD #5000076869