Provider Demographics
NPI:1467844738
Name:FALCON GENOMICS INC
Entity Type:Organization
Organization Name:FALCON GENOMICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:RULA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBUD-ANTAKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-334-9240
Mailing Address - Street 1:3 PENN CTR W
Mailing Address - Street 2:SUITE 127
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15276-0103
Mailing Address - Country:US
Mailing Address - Phone:412-788-4995
Mailing Address - Fax:412-788-0250
Practice Address - Street 1:2661 CLEARVIEW RD
Practice Address - Street 2:SUITE 1
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-3180
Practice Address - Country:US
Practice Address - Phone:412-788-4995
Practice Address - Fax:412-788-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39D2088138OtherCLIA