Organization
ELK REGIONAL PROFESSIONAL GROUP, INC.
Active
Other names
Platt St. Marys Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE L YOUNT (ADMINISTRATOR)
(814) 788-8615
Entity
Organization
Contact information
Practice address
121 E ARCH ST, SAINT MARYS, PA 15857-1769
(814) 834-2850
(814) 781-1580
Mailing address
763 JOHNSONBURG RD, SAINT MARYS, PA 15857-3417
(814) 788-8580
(814) 788-8042
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
028362
PA
Other
Enumeration date
06/12/2007
Last updated
09/03/2013
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