Organization
WYOMING VALLEY PATHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVID AHMAD MD (DIRECTOR)
(570) 552-1435
Entity
Organization
Contact information
Practice address
300 LAIRD ST, WILKES BARRE, PA 18702-7020
(570) 829-8111
(570) 208-5556
Mailing address
PO BOX 1205, KINGSTON, PA 18704-0205
(570) 208-5525
(570) 208-5556
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39D2118978
CLIA
PA
Enumeration date
05/27/2016
Last updated
10/12/2016
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