Organization
PREMIER MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DERUBEIS (CEO)
(412) 457-0060
Entity
Organization
Contact information
Practice address
3824 NORTHERN PIKE, STE 650, MONROEVILLE, PA 15146-2141
(412) 380-2852
(412) 380-2785
Mailing address
3824 NORTHERN PIKE, STE 700, MONROEVILLE, PA 15146-2141
(412) 457-0060
(412) 457-0067
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
000869A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007504600089
—
PA
Enumeration date
03/29/2013
Last updated
03/29/2013
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