Organization
SLATER LABORATORIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C SLATER (DIRECTOR)
(814) 255-4772
Entity
Organization
Contact information
Practice address
1013 MENOHER BLVD, JOHNSTOWN, PA 15905-2544
(814) 255-4772
(814) 255-4847
Mailing address
1013 MENOHER BLVD, JOHNSTOWN, PA 15905-2544
(814) 255-4772
(814) 255-4847
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PA000502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007138020002
—
PA
01
—
690409113
RAILROAD MEDICARE
—
01
—
S104398
HIGHMARK BLUE SHIELD
—
Enumeration date
09/30/2005
Last updated
06/17/2010
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