Basic Information
| Provider Information | |||||||||
| NPI: | 1467619148 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOWARD UNIVERSITY HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 520 W ST NW | ||||||||
| Address2: | COLLEGE OF MEDICINE BLDG ROOM 2026 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200590001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028066308 | ||||||||
| FaxNumber: | 2028067022 | ||||||||
| Practice Location | |||||||||
| Address1: | 520 W ST NW | ||||||||
| Address2: | COLLEGE OF MEDICINE BLDG ROOM 2026 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200590001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028066308 | ||||||||
| FaxNumber: | 2028067022 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/20/2008 | ||||||||
| LastUpdateDate: | 05/20/2008 | ||||||||
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| AuthorizedOfficialLastName: | LEE | ||||||||
| AuthorizedOfficialFirstName: | EDWARD | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | CHAIRMAN | ||||||||
| AuthorizedOfficialTelephone: | 2028066308 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.