Organization
FAMILY PRACTICE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS J DARRUP DO (LABORATORY DIRECTOR)
(570) 837-5889
Entity
Organization
Contact information
Practice address
270 SUSQUEHANNA VALLEY MALL DR STE 200, SELINSGROVE, PA 17870-9121
(570) 884-7920
(570) 884-7928
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
020650
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154750
MEDICARE
PA
01
—
39D0657424
CLIA
PA
01
—
690004734
MCRR PIN
GA
Enumeration date
05/08/2007
Last updated
07/31/2024
Update your record
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