| NPI | 1992784375 |
|---|---|
| Other Name | DIAGNOSTIC MEDICAL, P. C. |
| Entity Type | Organization |
| Authorized Contact | ALEX B BODENSTAB Medical Director 610-261-4898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: PA MD037186E) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2008-05-05 |