Brookside Clinical Laboratory Inc in Aston - Clinical Medical Laboratory
Brookside Clinical Laboratory Inc - NPI 1629047436
Brookside Clinical Laboratory Inc is a Clinical Medical Laboratory in Aston, Pennsylvania. Brookside Clinical Laboratory Inc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Brookside Clinical Laboratory Inc is 1629047436. The last update date is 2018-11-06.
Brookside Clinical Laboratory Inc's current location address is 2901 Dutton Mill Rd Ste 100, Aston, Pennsylvania. You can contact this provider via phone number 6108726466 and fax number 6108727628. The mailing address for Brookside Clinical Laboratory Inc is 2901 Dutton Mill Rd Ste 100, Aston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brookside Clinical Laboratory Inc |
|---|---|
| Address | 2901 Dutton Mill Rd Ste 100, Aston, Pennsylvania |
| Phone Number | 6108726466 |
| Fax Number | 6108727628 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DIRE |
|---|---|
| Authorized Official Name | Iacono J John |
| Credentials | BS |
| Telephone Number | 6108726466 |
NPI Number Detail
| NPI Number | 1629047436 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2018-11-06 |
Provider Mailing Address Detail
| Address | 2901 Dutton Mill Rd Ste 100 |
|---|---|
| City | Aston |
| State | Pennsylvania (PA) |
| Post Code | 190142850 |
| Phone Number | 6108726466 |
| Fax Number | 6108727628 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | PA000472 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 398126 | BLUE SHIELD | ||
| 8034907 | NJ | -- | |
| 398126 | RAILROAD TRAVELERS | ||
| 7670710001 | PA | -- | |
| 991109 | DE | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brookside Clinical Laboratory Inc by the Centers for Medicare & Medicaid Services?
The Brookside Clinical Laboratory Inc has been issued the NPI (National Provider Identifier) 1629047436 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brookside Clinical Laboratory Inc is located?
The Brookside Clinical Laboratory Inc is situated at the following address: 2901 Dutton Mill Rd Ste 100, Aston, PA, 190142850.
What is Brookside Clinical Laboratory Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brookside Clinical Laboratory Inc is Clinical Medical Laboratory, and the corresponding taxonomy classification code for this specialized field is 291U00000X.
On what date did Brookside Clinical Laboratory Inc receive its 1629047436 assignment from the Centers for Medicare & Medicaid Services?
The Brookside Clinical Laboratory Inc was assigned its 1629047436 on 2006-03-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Brookside Clinical Laboratory Inc's information last updated?
The Brookside Clinical Laboratory Inc's information was last updated on 2018-11-06.