Organization
SKIPPACK MEDICAL LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AABEDA VAHORA (OWNER)
(610) 584-1669
Entity
Organization
Contact information
Practice address
200 RITTENHOUSE CIRCLE EAST, SUITE 9, BRISTOL, PA 19007-1619
(610) 584-1669
Mailing address
200 RITTENHOUSE CIR UNIT 9, BRISTOL, PA 19007-1619
(610) 584-1669
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036594640001
—
PA
Enumeration date
09/19/2014
Last updated
03/19/2020
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