Provider Demographics
NPI:1154507507
Name:ALVEOLI CORPORATION
Entity Type:Organization
Organization Name:ALVEOLI CORPORATION
Other - Org Name:LUNGS AT WORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GLAGOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-941-1650
Mailing Address - Street 1:5000 WATERDAM PLAZA DR STE 180
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-5412
Mailing Address - Country:US
Mailing Address - Phone:724-941-1650
Mailing Address - Fax:724-941-1380
Practice Address - Street 1:5000 WATERDAM PLAZA DR STE 180
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-5412
Practice Address - Country:US
Practice Address - Phone:724-941-1650
Practice Address - Fax:724-941-1380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001446473OtherHIGHMARK BC/BS
PA066230Medicare PIN