Organization
JRMC DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AL RAGAN (TREASURER)
(412) 205-6095
Entity
Organization
Contact information
Practice address
1200 BROOKS LANE, STE G40, CLAIRTON, PA 15025
(412) 469-8950
(412) 469-8980
Mailing address
1200 BROOKS LANE, STE G40, CLAIRTON, PA 15025
(412) 469-8950
(412) 469-8980
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008795530001
—
PA
01
—
1592294
HIGHMARK
PA
01
—
2215435
FIRST HEALTH
PA
01
—
99959030
RAILROAD MEDICARE
PA
Enumeration date
03/28/2006
Last updated
08/22/2020
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