Organization
MY LAB CHOICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONID KOSYAKOVSKIY (OWNER)
(570) 730-4411
Entity
Organization
Contact information
Practice address
391 EAST BROWN STREET, LOWER LEVEL, EAST STROUDSBURG, PA 18301
(570) 730-4411
Mailing address
364 N COURTLAND ST, EAST STROUDSBURG, PA 18301-1930
(570) 730-4411
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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