| NPI | 1649390162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SHELLENBERGER Office Administrator 570-759-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 000420) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |