39D0867080 CLIA NUMBER - PITTSBURGH ENDOCRINE DIABETES

Laboratory Demographics

CLIA Number: 39D0867080

Facility Name: PITTSBURGH ENDOCRINE DIABETES

Facility Address:
363 VANADIUM ROAD SUITE 102
PITTSBURGH, PA
ZIP 15243
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Facility Phone Number: 412 221-4740

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023093705

Taxonomy: 207RE0101X - Internal Medicine
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

CLIA Record

Field Name	Field Value
CLIA Number	39D0867080
LAB Type	Physician Office
Facility Name	PITTSBURGH ENDOCRINE DIABETES
Street	363 VANADIUM ROAD SUITE 102
City	PITTSBURGH
State	PA
ZIP	15243
Phone	412 221-4740
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024