| NPI | 1942463518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN J BISACCO Physician CEO 814-944-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 021591) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |