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Organization

MAIN LINE CLINICAL LABORATORIES

Active
Other names
Main Line Hospital Bryn Mawr
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL J BUONGIORNO (CHIEF FINANCIAL OFFICER)
(610) 526-8480
Entity
Organization

Contact information

Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(610) 229-4100
Mailing address
950 E HAVERFORD RD, SUITE 110, BRYN MAWR, PA 19010-3850
(610) 526-8480

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
000213
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015758270003
PA
Enumeration date
03/21/2007
Last updated
08/22/2020
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