Organization
OLIVER W CAMINOS
Active
Other names
Med Health Services Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOSEPHINE C ORIA (CFO)
(412) 373-7900
Entity
Organization
Contact information
Practice address
2490 MOSSIDE BLVD, MONROEVILLE, PA 15146
(412) 373-7900
(412) 372-1645
Mailing address
2490 MOSSIDE BLVD, MONROEVILLE, PA 15146-4236
(412) 373-7900
(412) 372-1645
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D176771
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014304450011
—
PA
01
—
1361782
UNITED HEALTHCARE
PA
05
—
2042873
—
OH
01
—
307379
BLUE SHIELD
PA
01
—
3810013048
UNISYS
WV
Enumeration date
09/23/2009
Last updated
10/08/2009
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