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INTERPACE DIAGNOSTICS CORPORATION NPI 1609826304


NPI Information

NPI: 1609826304
Provider Name: INTERPACE DIAGNOSTICS CORPORATION

Former Legal Business Name: REDPATH INTEGRATED PATHOLOGY, INC.

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 39D1024654

Address:
2515 LIBERTY AVE
PITTSBURGH, PA
ZIP 15222
Phone: (412) 224-6100
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INTERPACE DIAGNOSTICS CORPORATION is a clinical medical laboratory in Pittsburgh, PA. The provider is (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. INTERPACE DIAGNOSTICS CORPORATION NPI is 1609826304. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Redpath Integrated Pathology, Inc..

The provider's business location address is:

2515 LIBERTY AVE
PITTSBURGH, PA
ZIP 15222-613
Phone: (412) 224-6100
Fax: (412) 224-6110

The provider's authorized official is Thomas W Burnell .
The authorized official title is President And Ceo and has the following contact phone number (402) 613-4184.

The CLIA number assigned to this NPI record is 39D1024654 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 6/29/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory39D1024654PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001686800OTHERPENNSYLVANIAHIGHMARK BS
2101-855-645-000-1MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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