| NPI | 1093767915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-04-20 |