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39D0883300 CLIA NUMBER - MARTIN G GREGORIO MD AND ASSOCIATES LABORATORY

Laboratory Demographics

CLIA Number: 39D0883300

Facility Name: MARTIN G GREGORIO MD AND ASSOCIATES LABORATORY

Facility Address:
1500 VILLAGE RUND ROAD, SUITE 308
WEXFORD, PA
ZIP 15090
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Facility Phone Number: 724 934-1900

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1861560039

Taxonomy: 207LP2900X - Anesthesiology
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

CLIA Record

Field Name Field Value
CLIA Number 39D0883300
LAB Type Physician Office
Facility Name MARTIN G GREGORIO MD AND ASSOCIATES LABORATORY
Street 1500 VILLAGE RUND ROAD, SUITE 308
City WEXFORD
State PA
ZIP 15090
Phone 724 934-1900
CertificateType 4
CertificateEffectiveDate 6/29/2022
CertificateExpirationDate 6/28/2024
FacilityType Waiver

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