| NPI | 1760413595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J TAYOUN President 570-501-2692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: PA OS007636L) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2022-08-26 |