Provider First Line Business Practice Location Address:
GENETIC DIAGNOSTIC LABORATORY
Provider Second Line Business Practice Location Address:
3620 HAMILTON WALK, ANATOMY & CHEMISTRY BLDG, RM 415
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-573-9161
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/05/2018