| NPI | 1316127194 |
|---|---|
| Doing Business As | EMSO PARK DRIVE LAB |
| Entity Type | Organization |
| Authorized Contact | KENDRA A. AUCKER Vice President 570-522-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2007-11-08 |