Organization
CONEMAUGH HEALTH INITIATIVES
Active
Other names
Portage Health Center Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE M LAMBERT (PRESIDENT)
(814) 534-1630
Entity
Organization
Contact information
Practice address
3670 PORTAGE ST, SUITE 105, PORTAGE, PA 15946-6546
(814) 736-3321
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD017928E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007358110090
—
PA
Enumeration date
02/27/2007
Last updated
08/22/2020
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