Organization
LAB MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW M DECK (PRESIDENT)
(215) 855-1885
Entity
Organization
Contact information
Practice address
105 MONTGOMERY AVE, SUITE 1052, MONTGOMERYVILLE, PA 18936
(215) 855-1885
(215) 855-1822
Mailing address
105 MONTGOMERY AVE STE 1052, LANSDALE, PA 19446-1404
(215) 855-1885
(215) 855-1822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027173300002
—
PA
Enumeration date
03/18/2011
Last updated
03/24/2022
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