| NPI | 1083195069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALBERT BOWLES Vice President 610-454-4122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: TX 45D2150141) |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |