Organization
DJ LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JACKSON (ADMINISTRATOR)
(267) 566-2075
Entity
Organization
Contact information
Practice address
2550 BRODHEAD RD STE 202, BETHLEHEM, PA 18020-8922
(267) 566-2075
(267) 358-5979
Mailing address
2550 BRODHEAD RD STE 202, BETHLEHEM, PA 18020-8922
(267) 566-2075
(267) 358-5979
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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