39D2217193 CLIA NUMBER - BARTOLOMUCCI FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 39D2217193

Facility Name: BARTOLOMUCCI FAMILY MEDICINE

Facility Address:
120 VILLAGE DRIVE
GREENSBURG, PA
ZIP 15601
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Facility Phone Number: 412 554-8451

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1831787399

Taxonomy: 207QA0505X - Family Medicine
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

CLIA Record

Field Name	Field Value
CLIA Number	39D2217193
LAB Type	Physician Office
Facility Name	BARTOLOMUCCI FAMILY MEDICINE
Street	120 VILLAGE DRIVE
City	GREENSBURG
State	PA
ZIP	15601
Phone	412 554-8451
CertificateType	4
CertificateEffectiveDate	3/18/2023
CertificateExpirationDate	3/17/2025
FacilityType	Waiver

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