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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