39D0938749 CLIA NUMBER - AHN PRIMARY CARE WEST PENN MEDICAL ASSOCIATES

Laboratory Demographics

CLIA Number: 39D0938749

Facility Name: AHN PRIMARY CARE WEST PENN MEDICAL ASSOCIATES

Facility Address:
4815 LIBERTY AVE, GR10
PITTSBURGH, PA
ZIP 15224
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Facility Phone Number: 412 235-5810

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1649440611

Taxonomy: 2085R0001X - Radiology
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

CLIA Record

Field Name	Field Value
CLIA Number	39D0938749
LAB Type	Physician Office
Facility Name	AHN PRIMARY CARE WEST PENN MEDICAL ASSOCIATES
Street	4815 LIBERTY AVE, GR10
City	PITTSBURGH
State	PA
ZIP	15224
Phone	412 235-5810
CertificateType	3
CertificateEffectiveDate	1/14/2024
CertificateExpirationDate	1/13/2026
FacilityType	PPMP

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