Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Other names
EMSO Evan Family Medicine Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA A. AUCKER (VICE PRESIDENT)
(570) 522-2807
Entity
Organization
Contact information
Practice address
3 HOSPITAL DR, SUITE 214, LEWISBURG, PA 17837-9362
(570) 524-4242
(570) 524-2130
Mailing address
130 HOSPITAL DR, LEWISBURG, PA 17837-9315
(570) 522-4134
(570) 522-4120
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007498260005
—
PA
Enumeration date
12/10/2007
Last updated
12/10/2007
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