Intermountain Medical Group, Inc in Kingston - Clinical Medical Laboratory
Intermountain Medical Group, Inc - NPI 1932271624
Intermountain Medical Group, Inc is a Clinical Medical Laboratory in Kingston, Pennsylvania. Intermountain Medical Group, Inc practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Intermountain Medical Group, Inc is 1932271624. The last update date is 2011-07-13.
Intermountain Medical Group, Inc's current location address is 610 Wyoming Ave, Kingston, Pennsylvania. You can contact this provider via phone number 5702885441 and fax number 5702885842. The mailing address for Intermountain Medical Group, Inc is 610 Wyoming Ave, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Intermountain Medical Group, Inc |
---|---|
Address | 610 Wyoming Ave, Kingston, Pennsylvania |
Phone Number | 5702885441 |
Fax Number | 5702885842 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | LABORATORY |
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Authorized Official Name | Czwalina Robert |
Credentials | D.O. |
Telephone Number | 5702885441 |
NPI Number Detail
NPI Number | 1932271624 |
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Provider Enumeration Date | 2006-11-15 |
Last Updated Date | 2011-07-13 |
Provider Mailing Address Detail
Address | 610 Wyoming Ave |
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City | Kingston |
State | Pennsylvania (PA) |
Post Code | 187043702 |
Phone Number | 5702885441 |
Fax Number | 5702885842 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Medical Laboratory |
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Taxonomy | 291U00000X |
Licence No | 495 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
317305 | PA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Intermountain Medical Group, Inc by the Centers for Medicare & Medicaid Services?
The Intermountain Medical Group, Inc has been assigned the NPI (National Provider Identifier) 1932271624. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Intermountain Medical Group, Inc is geographically located?
The Intermountain Medical Group, Inc is physically situated at the following location: 610 Wyoming Ave, Kingston, PA, 187043702.
What is Intermountain Medical Group, Inc's area of expertise and its corresponding taxonomy classification?
The Intermountain Medical Group, Inc's field of specialization is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932271624 to Intermountain Medical Group, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1932271624 to Intermountain Medical Group, Inc on 2006-11-15.
As of what date were the details related to Intermountain Medical Group, Inc most recently updated or revised?
The information pertaining to Intermountain Medical Group, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-13.
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