| NPI | 1679226609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL KIZILBASH Owner 570-394-2794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |