Provider Demographics
NPI:1477977254
Name:HELOMICS CORPORATION
Entity Type:Organization
Organization Name:HELOMICS CORPORATION
Other - Org Name:PRECISION THERAPEUTICS, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-432-1500
Mailing Address - Street 1:91 43RD ST
Mailing Address - Street 2:LAWRENCEVILLE TECHNOLOGY CTR.
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-3109
Mailing Address - Country:US
Mailing Address - Phone:412-432-1500
Mailing Address - Fax:800-549-6407
Practice Address - Street 1:91 43RD ST
Practice Address - Street 2:LAWRENCEVILLE TECHNOLOGY CTR.
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-3109
Practice Address - Country:US
Practice Address - Phone:412-432-1500
Practice Address - Fax:800-549-6407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA39D2008853291U00000X
PA024387291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA312187Medicare PIN