Organization
JOSEPH P RUDOLPH
Active
Other names
Luturgical Data Systems Medical Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PHILIP RUDOLPH MD (MEDICAL DIRECTOR)
(412) 653-4900
Entity
Organization
Contact information
Practice address
330 CURRY HOLLOW ROAD, FAMILY PROFESSIONAL CENTER, PITTSBURGH, PA 15236
(412) 653-4900
(412) 653-9969
Mailing address
PO BOX 503, LDS MEDICAL LABORATORY, SOUTH PARK, PA 15129
(412) 653-4900
(412) 653-9969
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
LAB#004627
PA
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD1326451
HIGHMARK
PA
Enumeration date
05/01/2006
Last updated
08/22/2020
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