Organization
BUCK MEDICAL LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH L BUCK M.D. (PRESIDENT)
(412) 672-9781
Entity
Organization
Contact information
Practice address
1433 FAWCETT AVE, MCKEESPORT, PA 15131-1507
(412) 672-9781
(412) 672-3754
Mailing address
1433 FAWCETT AVE, MCKEESPORT, PA 15131-1507
(412) 672-9781
(412) 672-3754
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007415410008
—
PA
Enumeration date
08/09/2006
Last updated
08/22/2020
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