| NPI | 1710255294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD SCOTT CARTIER VP Of Revenue Services 484-676-7731 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |