Provider Demographics
NPI:1497160907
Name:TOXICITY ASSESSORS GLOBAL OF PENNSYLVANIA LLC
Entity Type:Organization
Organization Name:TOXICITY ASSESSORS GLOBAL OF PENNSYLVANIA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AUGUSTINE
Authorized Official - Middle Name:KWAKU
Authorized Official - Last Name:AGYEKUM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:267-966-8447
Mailing Address - Street 1:5070 PARKSIDE AVE STE 2103
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-4747
Mailing Address - Country:US
Mailing Address - Phone:215-921-6972
Mailing Address - Fax:215-921-2970
Practice Address - Street 1:5070 PARKSIDE AVE STE 2103
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-4747
Practice Address - Country:US
Practice Address - Phone:215-921-6972
Practice Address - Fax:215-921-2970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No293D00000XLaboratoriesPhysiological Laboratory