Organization
EASTERN COMMUNITY LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PUNIT PATEL (MANAGER)
(817) 287-8044
Entity
Organization
Contact information
Practice address
454 W. VALLEY AVE., ELYSBURG, PA 17824
(570) 672-1111
(570) 672-1103
Mailing address
454 W. VALLEY AVE., ELYSBURG, PA 17824
(570) 672-1111
(570) 672-1103
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
33294
PA
Other
Enumeration date
10/23/2013
Last updated
05/04/2017
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