Prism Molecular LLC
NPI #1558067199 in Blakely, Pennsylvania
Provider Information
- NPI Number
- 1558067199
- Entity Type
- Organization
- Organization Name
- Prism Molecular LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Feb 6, 2023
- Last Updated
- Apr 1, 2024
Practice Location
- Address
- 1801 MAIN ST STE 104
- City
- Blakely
- State
- Pennsylvania
- ZIP Code
- 18447-1365
- Phone
- (570) 382-8125
Authorized Official
- Name
- MR. HOWARD M WEGMAN
- Title
- PRESIDENT
- Phone
- (314) 952-2370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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