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Organization

CITIZENSDX PA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY AMMON (PRESIDENT/CEO)
(502) 244-2420
Entity
Organization

Contact information

Practice address
639 RED LION RD, HUNTINGDON VALLEY, PA 19006-6216
(502) 244-2420
(502) 996-8282
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 813-4415
(502) 996-8282

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
10/18/2022
Last updated
10/19/2022
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