Phillip J States Lab
NPI #1376733584 in Punxsutawney, Pennsylvania
Provider Information
- NPI Number
- 1376733584
- Entity Type
- Organization
- Organization Name
- Phillip J States Lab
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 25, 2007
- Last Updated
- Jul 25, 2007
Practice Location
- Address
- 1464 N MAIN ST STE 5
- City
- Punxsutawney
- State
- Pennsylvania
- ZIP Code
- 15767-2609
- Phone
- (814) 938-3550
Authorized Official
- Name
- PHILLIP J STATES, MD
- Title
- OWNER
- Phone
- (814) 938-3550
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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