Provider Demographics
NPI:1770984239
Name:ABIRA MEDICAL LABORATORIES
Entity type:Organization
Organization Name:ABIRA MEDICAL LABORATORIES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:H
Authorized Official - Last Name:VERNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-212-2000
Mailing Address - Street 1:900 TOWN CENTER DR
Mailing Address - Street 2:SUITE H-50
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-3244
Mailing Address - Country:US
Mailing Address - Phone:267-212-2000
Mailing Address - Fax:267-212-2005
Practice Address - Street 1:900 TOWN CENTER DR
Practice Address - Street 2:SUITE H-50
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-3244
Practice Address - Country:US
Practice Address - Phone:267-212-2000
Practice Address - Fax:267-212-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-15
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory