Organization
DEJOHN MEDICAL LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN S DEJOHN (PRESIDENT/ OWNER)
(610) 626-2112
Entity
Organization
Contact information
Practice address
1570 GARRETT RD, UPPER DARBY, PA 19082-4500
(610) 626-2112
(610) 626-5923
Mailing address
1570 GARRETT RD, UPPER DARBY, PA 19082-4500
(610) 626-2112
(610) 626-5923
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
000363
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007131880001
—
PA
Enumeration date
07/05/2005
Last updated
08/22/2020
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