| NPI | 1427100049 |
|---|---|
| Other Name | NORTH EAST FAMILY PRACTICE (LAB) |
| Entity Type | Organization |
| Authorized Contact | JOHN ERIC DUDZINSKI Owner Physician 814-725-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 005608) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-12-20 |