Organization
PERLL DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FERYAL NAWAZ (PRESIDENT)
(570) 394-2776
Entity
Organization
Contact information
Practice address
5010 RITTER RD, SUITE 104, MECHANICSBURG, PA 17055
(717) 691-1500
(717) 691-5551
Mailing address
5010 RITTER RD, SUITE 104, MECHANICSBURG, PA 17055-4828
(717) 691-1500
(717) 691-5551
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102599817-0001
—
PA
05
—
102599817-0002
—
PA
Enumeration date
04/01/2011
Last updated
09/11/2018
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