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Intermountain Medical Group, Inc
Clinical Medical Laboratory in Kingston, Pennsylvania
NPI 1932271624

Intermountain Medical Group, Inc is a Clinical Medical Laboratory based in Kingston, PA. Intermountain Medical Group, Inc practices in Kingston, PA. The NPI Number for Intermountain Medical Group, Inc is 1932271624 and holds a License No. 000495 (Pennsylvania).

The current practice location address for Intermountain Medical Group, Inc is 610 Wyoming Ave, Kingston, PA and can be reached out via phone at 570-288-5441 and via fax at 570-288-5842.

Location: 610 Wyoming Ave, Kingston, PA, 18704-3702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932271624
Provider Name
Intermountain Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
610 Wyoming Ave, Kingston, PA, 18704-3702
Phone Number
570-288-5441
Fax Number
570-288-5842
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
317305 01 PA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
610 Wyoming Ave
City
Kingston
State
Pennsylvania
Zip
18704-3702
Phone Number
570-288-5441
Fax Number
570-288-5842
person
Provider Business Mailing Address Details
Address
610 Wyoming Ave
City
Kingston
State
Pennsylvania
Zip
18704-3702
Phone Number
570-288-5441
Fax Number
570-288-5842
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
000495 (Pennsylvania)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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