| NPI | 1245227727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C SLATER Director 814-255-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA PA000502) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2010-06-17 |