Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Other names
EMSO Family Medical Care Lab
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GIBBONS (ASSOCIATE VICE PRESIDENT)
(570) 522-4158
Entity
Organization
Contact information
Practice address
45 FORESTWOOD DR, LEWISBURG, PA 17837-6213
(570) 524-5050
(570) 524-5250
Mailing address
132 HOSPITAL DR, LEWISBURG, PA 17837-9315
(570) 522-4110
(570) 522-2194
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD058238L
PA
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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