Organization
ALLEY MEDICAL CENTER LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SHELLENBERGER (OFFICE ADMINISTRATOR)
(570) 759-0351
Entity
Organization
Contact information
Practice address
301 W 3RD ST, BERWICK, PA 18603-3603
(570) 759-0351
(570) 759-1992
Mailing address
301 W 3RD ST, BERWICK, PA 18603-3603
(570) 759-0351
(570) 759-1992
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
000420
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007302700003
—
PA
Enumeration date
03/29/2007
Last updated
08/22/2020
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