Provider Demographics
NPI:1467436188
Name:RABKIN DERMATOPATHOLOGY LABORATORY, P.C.
Entity Type:Organization
Organization Name:RABKIN DERMATOPATHOLOGY LABORATORY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-968-9266
Mailing Address - Street 1:440 WILLIAM PITT WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1330
Mailing Address - Country:US
Mailing Address - Phone:412-968-9266
Mailing Address - Fax:412-968-5673
Practice Address - Street 1:440 WILLIAM PITT WAY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1330
Practice Address - Country:US
Practice Address - Phone:412-968-9266
Practice Address - Fax:412-968-5673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-06
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA021745291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA028100Medicare PIN