Organization
CONNECTIVE TISSUE GENE TESTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEENA ALA-KOKKO M.D., PH.D (PRESIDENT)
(484) 244-2900
Entity
Organization
Contact information
Practice address
6575SNOWDRIFT RD, SUITE 106, ALLENTOWN, PA 18106
(484) 244-2900
(484) 244-2904
Mailing address
6575 SNOWDRIFT RD, SUITE 106, ALLENTOWN, PA 18106-9353
(484) 244-2900
(484) 244-2904
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD063053L
PA
Other
Enumeration date
11/06/2006
Last updated
09/30/2016
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