| NPI | 1114978608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH HOLDREN CAO 570-271-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-06-27 |