Organization
ITXM DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES EUGENE WILCOX (DIRECTOR/OFFICER)
(412) 209-7151
Entity
Organization
Contact information
Practice address
3636 BOULEVARD OF THE ALLIES, PITTSBURGH, PA 15213
(412) 209-7329
(412) 209-7325
Mailing address
3636 BOULEVARD OF THE ALLIES, PITTSBURGH, PA 15213
(412) 209-7329
(412) 209-7325
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
39D0667119
PA
Other
Enumeration date
10/31/2005
Last updated
06/15/2018
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