Organization
LIFECOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L SAPORITO (CHIEF FINANCIAL OFFICER)
(412) 826-2108
Entity
Organization
Contact information
Practice address
121 FREEPORT RD, BLAWNOX, PA 15238-3411
(412) 826-9300
(412) 826-1024
Mailing address
121 FREEPORT RD, BLAWNOX, PA 15238-3411
(412) 826-9300
(412) 826-1024
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
6000002602
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
249183
BLUE CROSS BLUE SHIELD
PA
Enumeration date
09/07/2005
Last updated
08/22/2020
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