| NPI | 1508817651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director Credentialing 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine |
| Additional Taxonomies | 207ZD0900X Pathology Dermatopathology |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2020-03-31 |