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NPI Code Detail

MEDICARE: RHEUMATOLOGY DIAGNOSTIC LAB

MEDICARE: RHEUMATOLOGY DIAGNOSTIC LAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory028592PA

General Provider Information

NPI Number : 1922016625
Entity Type Code : Organization
Provider Name (Legal Business Name) : RHEUMATOLOGY DIAGNOSTIC LAB
Provider Business Mailing Address
First Line : 170 W. GERMANTOWN PIKE, NORRITON OFFICE CENTER
Second Line : SUITE C-2
City : EAST NORRITON
State : PA
Zip : 19401-1389
Country : US
Telephone Number : 610-277-2750
Fax Number : 610-277-9805
Provider Business Practice Location Address
First Line : 170 W. GERMANTOWN PIKE, NORRITON OFFICE CENTER
Second Line : SUITE C-2
City : EAST NORRITON
State : PA
Zip : 19401-1389
Country : US
Telephone Number : 610-277-2750
Fax Number : 610-277-9805
Authorized Official
Title or Position : PRACTICE MANAGER
Name : DONNA R HEYMER
Credential :
Telephone Number : 610-277-2750
Provider Enumeration Date : 08/04/2006
Last Update Date : 09/04/2007

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Directions to “RHEUMATOLOGY DIAGNOSTIC LAB ” Practice Location

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