Organization
CLINTON ENDOCRINE LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELAINE WALLACE (LABORATORY DIRECTOR)
(610) 834-1230
Entity
Organization
Contact information
Practice address
815 LOCUST ST, PHILADELPHIA, PA 19107-5504
(215) 922-2206
Mailing address
815 LOCUST ST, PHILADELPHIA, PA 19107-5504
(215) 922-2206
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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