| NPI | 1861633216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD SCOTT CARTIER VP Of Revenue Services 484-676-7000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MI 23D1093446) |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2012-09-21 |