Organization
DMLA CORPORATION
Active
Other names
DML Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MILLER (PRESIDENT)
(570) 343-3326
Entity
Organization
Contact information
Practice address
387 N 9TH AVE, SCRANTON, PA 18504-2005
(570) 343-3326
(570) 969-4210
Mailing address
387 N 9TH AVE, SCRANTON, PA 18504-2005
(570) 343-3326
(570) 969-4210
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
745
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303686
BLUE SHIELD PIN
PA
Enumeration date
02/17/2008
Last updated
02/17/2008
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