| NPI | 1972796068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S ROGGENBAUM Practice Manager 717-741-9536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 39D0685699) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |