| NPI | 1194743153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J PABLO LAKE VP Of Revenue Services 484-676-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: KS 17D0912191) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2015-02-13 |