Organization
NORTHEAST CRITICAL CARE CLINICAL LABS
Active
Other names
NCC Clinical Labs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID B. KASPRZAK CRNP (CEO)
(570) 657-1634
Entity
Organization
Contact information
Practice address
229 W BROAD STREET, TAMAQUA, PA 18252
(570) 657-1634
(570) 645-3397
Mailing address
229 W BROAD STREET, TAMAQUA, PA 18252
(570) 657-1634
(570) 645-3397
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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