Provider Demographics
NPI:1891312179
Name:ALLORA LABORATORY, LLC
Entity type:Organization
Organization Name:ALLORA LABORATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MLS (ASCP)
Authorized Official - Phone:717-491-5371
Mailing Address - Street 1:405 SAINT JOHNS CHURCH RD STE 104
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-5739
Mailing Address - Country:US
Mailing Address - Phone:717-216-8131
Mailing Address - Fax:717-850-8039
Practice Address - Street 1:405 SAINT JOHNS CHURCH RD STE 104
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-5739
Practice Address - Country:US
Practice Address - Phone:717-216-8131
Practice Address - Fax:717-850-8039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory