ALLENTOWN OPC (401)    INSTITUTION (4)

Name Value
NAME ALLENTOWN OPC
STATE PENNSYLVANIA
STREET ADDR. 1 3110 HAMILTON BOULEVARD
CITY ALLENTOWN
ZIP 18103-3672
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME ALLENTOWN VA CBOC
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1053362145
TAXONOMY CODE
LOCATION TIMEZONE EASTERN
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 693B4
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1053362145
  • CODING SYSTEM:   VASTANUM
    ID:   693B4
  • CODING SYSTEM:   CLIA
    ID:   39D0987240