Organization
TRI- COUNTY DIAGNOSTIC TESTING SERVICES LLC
Active
Parent organization
CLINICAL SERVICES INC
Other names
Saint Vincent Diagnostic Testing in Bradford
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINICAL SERVICES INC
Authorized official
MARK R KRESSE (BOARD SECRETARY)
(814) 452-7888
Entity
Organization
Contact information
Practice address
52 DAVIS ST, BRADFORD, PA 16701-2016
(814) 368-3150
(814) 368-4968
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5000
(814) 860-5050
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012141200001
—
PA
Enumeration date
10/05/2006
Last updated
10/11/2007
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