Organization
ANGELINE ELIZABETH KIRBY MEMORIAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SPEACE M.D. (LABORATORY DIRECTOR)
(570) 822-4278
Entity
Organization
Contact information
Practice address
71 N FRANKLIN ST, WILKES BARRE, PA 18701-1312
(570) 822-4278
(570) 825-9926
Mailing address
71 N FRANKLIN ST, WILKES BARRE, PA 18701-1312
(570) 822-4278
(570) 825-9926
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D0657582
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007139380001
—
PA
Enumeration date
08/16/2005
Last updated
10/28/2011
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