Organization
LEHIGH VALLEY TOXICOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA JACKSON (PRESIDENT)
(267) 566-2075
Entity
Organization
Contact information
Practice address
2550 BRODHEAD RD STE 202, BETHLEHEM, PA 18020-8922
(267) 566-2075
(215) 253-4110
Mailing address
2550 BRODHEAD RD STE 202, BETHLEHEM, PA 18020-8922
(267) 566-2075
(215) 253-4110
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003226322A
—
GA
05
—
00549889
—
NC
05
—
0193241
—
OH
05
—
0642894
—
NJ
05
—
098233
—
AZ
05
—
100094814
—
WI
05
—
102980871
—
PA
05
—
1695812
—
AK
05
—
19120K5D
—
CA
05
—
201003690
—
OK
05
—
2150156
—
WA
05
—
2506790
—
LA
05
—
300028759
—
IN
05
—
700019461
—
MO
05
—
L00722
—
SC
05
—
Q053862
—
TN
Enumeration date
06/13/2014
Last updated
05/15/2023
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