| NPI | 1174698443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYATT PETER DEGREEN President 717-291-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 39D0657394) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2008-06-27 |