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Organization

NORTHERN TIER RESEARCH

Active
Parent organization
NORTHERN TIER RESEARCH
Organization subpart
Yes

Provider details

NPI number
Legal business name
NORTHERN TIER RESEARCH
Authorized official
DR. MICHAEL JUDE COYER PH.D. (DIRECTOR)
(570) 282-4340
Entity
Organization

Contact information

Practice address
1300 OLD PLANK RD, MAYFIELD, PA 18433-1973
(570) 282-4340
Mailing address
1300 OLD PLANK RD, MAYFIELD, PA 18433-1973
(570) 282-4340

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D1050690
PA

Other

Enumeration date
01/21/2011
Last updated
01/21/2011
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