Organization
LIFECARE DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY J RYAN MD (OWNER)
(315) 539-0237
Entity
Organization
Contact information
Practice address
1991 BALSLEY RD, SENECA FALLS, NY 13148-9714
(315) 539-0237
(315) 539-0940
Mailing address
1991 BALSLEY RD, SENECA FALLS, NY 13148-9714
(315) 539-9229
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02459272
—
NY
Enumeration date
09/30/2005
Last updated
08/07/2009
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