Organization
SMA MEDICAL, INC.
Active
Other names
SMA Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIRA ZHIVALYUK (GENERAL MANAGER)
(215) 322-6590
Entity
Organization
Contact information
Practice address
940 PENNSYLVANIA BLVD, UNIT E, FEASTERVILLE, PA 19053-7834
(215) 322-6590
(215) 322-9524
Mailing address
940 PENNSYLVANIA BLVD, UNIT E, FEASTERVILLE, PA 19053-7834
(215) 322-6590
(215) 322-9524
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
027649
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018713050001
—
PA
05
—
01871305
—
PA
Enumeration date
04/01/2006
Last updated
05/24/2010
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