Organization
PATHOLOGY LABORATORY DIAG., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS D BEDETTI MD (PRESIDENT)
(412) 858-2567
Entity
Organization
Contact information
Practice address
2570 HAYMAKER RD, MONROEVILLE, PA 15146-3513
(412) 858-2567
Mailing address
2570 HAYMAKER RD, MONROEVILLE, PA 15146-3513
(412) 858-2567
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011423050010
—
PA
01
—
538855
HIGHMARK/BLUE SHIELD
PA
Enumeration date
06/25/2006
Last updated
07/21/2022
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