Organization
INTERPACE DIAGNOSTICS CORPORATION
Active
Other names
RedPath Integrated Pathology, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W BURNELL (PRESIDENT AND CEO)
(402) 613-4184
Entity
Organization
Contact information
Practice address
2515 LIBERTY AVE, PITTSBURGH, PA 15222-4613
(412) 224-6100
(412) 224-6110
Mailing address
2515 LIBERTY AVE, PITTSBURGH, PA 15222-4613
(412) 224-6100
(412) 224-6110
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D1024654
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001686800
HIGHMARK BS
PA
05
—
101-855-645-000-1
—
PA
Enumeration date
05/11/2006
Last updated
06/29/2021
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