Organization
PRIMEMED, P.C.
Active
Parent organization
PRIMEMED, P.C.
Other names
Viewmont Medical LABS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIMEMED, P.C.
Authorized official
MYRON SIDLOSKI CAO (CHIEF ADMINISTRATIVE OFFICER)
(570) 558-7412
Entity
Organization
Contact information
Practice address
100 ABINGTON EXECUTIVE PARK, SUITE C, CLARKS SUMMIT, PA 18411-2258
(570) 207-3333
(570) 702-8131
Mailing address
5 MORGAN HWY, SUITE 6, SCRANTON, PA 18508-2641
(570) 558-7414
(570) 207-4287
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
030946
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100750818
—
PA
01
—
2097690
BLUE SHIELD
PA
Enumeration date
05/15/2009
Last updated
08/25/2009
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