Organization
GENERAL ENZYME DIAGNOSTICS LLC
Active
Other names
GED, GE-Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
OTONYE DAGO (ACCOUNTING MANAGER)
(814) 262-7331
Entity
Organization
Contact information
Practice address
633 NAPOLEON ST, JOHNSTOWN, PA 15901-2615
(814) 262-7331
Mailing address
633 NAPOLEON ST, JOHNSTOWN, PA 15901-2615
(814) 262-7331
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39D2213541
DEPARTMENT OF HEALTH
PA
Enumeration date
04/13/2021
Last updated
05/27/2021
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