Organization
GENETIC DIAGNOSTIC LABORATORY
Active
Parent organization
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF PENNSYLVANIA HEALTH SYSTEM
Authorized official
DR. ARUPA GANGULY PH.D. (LABORATORY DIRECTOR)
(215) 898-3122
Entity
Organization
Contact information
Practice address
3620 HAMILTON WALK, 415 ANATOMY-CHEMSTRY BUILDING, PHILADELPHIA, PA 19104-4215
(215) 573-9161
(215) 573-5940
Mailing address
415 CURIE BOULEVARD, 415 ANATOMY-CHEMISTRY BUILDING-DEPARTMENT OF GENETICS, PHILADELPHIA, PA 19104
(215) 573-9161
(215) 573-5940
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D0893887
PA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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