Organization
SENECA MEDICAL LAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN LESLIE HOGAN (CONTROLLER)
(215) 643-9960
Entity
Organization
Contact information
Practice address
401 COMMERCE DR, SUITE 200, FORT WASHINGTON, PA 19034-2714
(215) 643-9960
(215) 643-9963
Mailing address
401 COMMERCE DR, SUITE 200, FORT WASHINGTON, PA 19034-2714
(215) 643-9960
(215) 643-9963
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
029257
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101523037001
—
PA
Enumeration date
05/23/2006
Last updated
08/22/2020
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