NPI Registry
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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
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