Provider Demographics
NPI:1568095099
Name:TRUCHOICE DIAGNOSTICS LLC
Entity Type:Organization
Organization Name:TRUCHOICE DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TUESDAE
Authorized Official - Middle Name:R
Authorized Official - Last Name:STAINBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-591-2116
Mailing Address - Street 1:135 MIDWAY DR.
Mailing Address - Street 2:
Mailing Address - City:DUBOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-3857
Mailing Address - Country:US
Mailing Address - Phone:815-391-2116
Mailing Address - Fax:
Practice Address - Street 1:135 MIDWAY DR.
Practice Address - Street 2:
Practice Address - City:DUBOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-3857
Practice Address - Country:US
Practice Address - Phone:815-391-2116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory