NPI 1184012569

University of Penn-Medical Group

Organisation Clinical Medical Laboratory Philadelphia, PA

Practice location

Address: 3400 Spruce St, Philadelphia, PA 19104-4238
Phone: (800) 736-6522
Mailing address: 3400 Spruce St 6 Founders, Philadelphia, PA 19104-4238

Authorised official

Name: Chante L Jackson
Title: Enrollment Lead
Phone: (215) 662-6187

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Pennsylvania →

Registry record

NPI: 1184012569
Entity type: Organization
NPI issued: 7 Jan 2015
Record last updated: 19 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.