Provider Demographics
NPI:1003077744
Name:ST CLAIR MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:ST CLAIR MEDICAL SERVICES, INC
Other - Org Name:ST CLAIR OSTEOPOROSIS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP OF FINANCE AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHESNOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-942-1250
Mailing Address - Street 1:2000 OXFORD DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-1827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2000 OXFORD DR
Practice Address - Street 2:SUITE 110
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1827
Practice Address - Country:US
Practice Address - Phone:412-942-2670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2010-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA045399Medicare PIN