| NPI | 1699095760 |
|---|---|
| Doing Business As | YOUR PEDIATRIC CONNECTION WEST |
| Entity Type | Organization |
| Authorized Contact | JASON N ROEBACK President 814-877-4242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |