Organization
HOPE PEDIATRICS LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN GORDON HAMM MD (OWNER)
(814) 677-3717
Entity
Organization
Contact information
Practice address
3512 STATE ROUTE 257, SENECA, PA 16346-2946
(814) 677-3717
(814) 677-8914
Mailing address
3512 STATE ROUTE 257, SENECA, PA 16346-2946
(814) 677-3717
(814) 677-8914
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019684030001
—
PA
Enumeration date
04/06/2007
Last updated
08/22/2020
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