| NPI | 1659585214 |
|---|---|
| Other Name | ERPG KEYSTONE MEDICAL LAB - STATE STREET |
| Entity Type | Organization |
| Authorized Contact | RITA V OLSZEWSKI Administrator 814-788-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 028349) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |