INTERMOUNTAIN MEDICAL GROUP INC NPI 1932271624

NPI Information

  • NPI: 1932271624
  • Provider Name: INTERMOUNTAIN MEDICAL GROUP, INC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Doing Business As: ACCU CLINICAL LABORATORY
  • Address: 610 WYOMING AVE
    KINGSTON, PA
    ZIP 18704
  • Phone: (570) 288-5441

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NPI Details

INTERMOUNTAIN MEDICAL GROUP, INC is a clinical medical laboratory in Kingston, 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. INTERMOUNTAIN MEDICAL GROUP, INC NPI is 1932271624. The provider is registered as an organization entity type.
The provider Is Doing Business As Accu Clinical Laboratory.

The provider's business location address is:

610 WYOMING AVE
KINGSTON, PA
ZIP 18704-702
Phone: (570) 288-5441
Fax: (570) 288-5842

The provider's authorized official is Robert Czwalina .
The authorized official title is Laboratory Director and has the following contact phone number (570) 288-5441.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 7/13/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory000495PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1398158MEDICARE ID-TYPE UNSPECIFIED
2317305OTHERPENNSYLVANIABLUE SHIELD

What is NPI?

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This page was last updated on: 11/21/2025

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