| NPI | 1265458988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE KOTCH Billing Manager 570-714-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-05-22 |