| NPI | 1336280163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES N BURNS Medical Director 570-288-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA MD019709E) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |