Basic Information
| Provider Information | |||||||||
| NPI: | 1922438183 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ARCADIA LAB AND DIAGNOSTICS, LLC | ||||||||
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| OtherOrganizationName: | ANY LAB TEST NOW | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7248 TILGHMAN ST | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181069355 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103368000 | ||||||||
| FaxNumber: | 6103368001 | ||||||||
| Practice Location | |||||||||
| Address1: | 4144 W TILGHMAN ST | ||||||||
| Address2: | |||||||||
| City: | ALLENTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 181044428 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103988333 | ||||||||
| FaxNumber: | 6103988334 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/25/2013 | ||||||||
| LastUpdateDate: | 11/25/2013 | ||||||||
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| AuthorizedOfficialLastName: | HUNGARTER | ||||||||
| AuthorizedOfficialFirstName: | ELWOOD | ||||||||
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| AuthorizedOfficialTitleorPosition: | GENERAL MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 6103368000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.