Joseph P Rudolph in South Park - Clinical Medical Laboratory
Joseph P Rudolph - NPI 1255398483
Joseph P Rudolph is a Clinical Medical Laboratory in South Park, Pennsylvania. Joseph P Rudolph practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Joseph P Rudolph is 1255398483. The last update date is 2020-08-22.
Joseph P Rudolph's current location address is Po Box 503, South Park, Pennsylvania. You can contact this provider via phone number 4126534900 and fax number 4126539969. The mailing address for Joseph P Rudolph is Po Box 503, South Park, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Joseph P Rudolph |
|---|---|
| Address | Po Box 503, South Park, Pennsylvania |
| Phone Number | 4126534900 |
| Fax Number | 4126539969 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL DI |
|---|---|
| Authorized Official Name | Rudolph Philip Joseph |
| Credentials | MD |
| Telephone Number | 4126534900 |
NPI Number Detail
| NPI Number | 1255398483 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 503 |
|---|---|
| City | South Park |
| State | Pennsylvania (PA) |
| Post Code | 15129 |
| Phone Number | 4126534900 |
| Fax Number | 4126539969 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | LAB#004627 |
|
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 |
|---|---|---|---|
| LD1326451 | PA | HIGHMARK |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joseph P Rudolph by the Centers for Medicare & Medicaid Services?
The Joseph P Rudolph has been issued the NPI (National Provider Identifier) 1255398483, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Joseph P Rudolph is physically located?
The Joseph P Rudolph is physically situated at the following address: Po Box 503, South Park, PA, 15129.
What is the Joseph P Rudolph's specialty and taxonomy code?
The Joseph P Rudolph's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.
On what date was the 1255398483 assigned to Joseph P Rudolph?
The Joseph P Rudolph was issued its 1255398483 on 2006-05-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Joseph P Rudolph's information last updated?
The Joseph P Rudolph's information was last updated on 2020-08-22.