| NPI | 1376716886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L THOMAS Medical Doctor 814-643-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 000710) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |