Organization
PREMIER DIAGNOSTIC TESTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONID KOSYAKOVSKIY (PRESIDENT)
(570) 369-5833
Entity
Organization
Contact information
Practice address
364 N COURTLAND ST, EAST STROUDSBURG, PA 18301-1930
(570) 369-5833
Mailing address
364 N COURTLAND ST, EAST STROUDSBURG, PA 18301-1930
(570) 369-5833
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2015
Last updated
10/14/2015
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