| NPI | 1346848298 |
|---|---|
| Other Name | MILLCREEK MANOR COVID LAB |
| Entity Type | Organization |
| Authorized Contact | ERICA DEMAURI Controller 814-868-2496 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |