| NPI | 1649418351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY COSTANTINO President/CEO 215-674-9310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 000977) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2012-12-07 |