Masonic Villages of the Grand Lodge of Pennsylvania
Masonic Villages of the Grand Lodge of Pennsylvania is a Clinical Medical Laboratory in Elizabethtown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2012.
- Licensed in
- PA
- In the registry since
- 2012
Practice location Address checks out
581 Freemason DrElizabethtown, PA 17022-3187
Phone: (717) 367-1121
Fax: (717) 367-5813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Medical Laboratory (primary) | Taxonomy 291U00000X · Licence 000634A (PA) |
|---|
Record details
| NPI number | 1972856151 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pamela Formica — Chief Financial Officer · (717) 367-1121 |
| NPI enumerated | October 25, 2012 |
| Last updated in NPPES | May 1, 2023 |
| Certification date | May 1, 2023 |
| Mailing address | 1 Masonic Dr, Elizabethtown, PA 17022-2199 |