Brookside Clinical Laboratory INC
NPI #1629047436 in Aston, Pennsylvania
Provider Information
- NPI Number
- 1629047436
- Entity Type
- Organization
- Organization Name
- Brookside Clinical Laboratory INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 15, 2006
- Last Updated
- Nov 6, 2018
Practice Location
- Address
- 2901 DUTTON MILL RD STE 100
- City
- Aston
- State
- Pennsylvania
- ZIP Code
- 19014-2850
- Phone
- (610) 872-6466
Authorized Official
- Name
- MR. JOHN J IACONO, BS
- Title
- OWNER DIRECTOR
- Phone
- (610) 872-6466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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