| NPI | 1679920573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J PABLO LAKE Executive Director Revenue Services 484-676-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D0981597) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |