Organization
MAIN LINE HEALTH LABORATORIES
Active
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
3855 WEST CHESTER PIKE, NEWTOWN SQUARE, PA 19073-2304
(610) 866-6091
Mailing address
950 E HAVERFORD RD, SUITE 110, BRYN MAWR, PA 19010-3850
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Enumeration date
11/23/2007
Last updated
11/23/2007
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