Organization
MEDTOXDX LLC
Active
Other names
MedTOX Diagnostics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERUM A NAQVI (LAB MANAGER)
(724) 522-5261
Entity
Organization
Contact information
Practice address
310 CLAY AVE, JEANNETTE, PA 15644-2120
(724) 522-5261
(724) 522-5170
Mailing address
310 CLAY AVE, JEANNETTE, PA 15644-2120
(724) 522-5261
(724) 522-5170
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
029704
PA
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1022072100001
—
PA
Enumeration date
03/26/2008
Last updated
04/11/2013
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