Provider Demographics
NPI:1770218257
Name:FOURNIER, DIANA (MLS)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:
Last Name:FOURNIER
Suffix:
Gender:F
Credentials:MLS
Other - Prefix:
Other - First Name:JORDAN
Other - Middle Name:
Other - Last Name:FOURNIER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MLS
Mailing Address - Street 1:3333 PIEDMONT AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15216-2219
Mailing Address - Country:US
Mailing Address - Phone:412-523-4237
Mailing Address - Fax:
Practice Address - Street 1:1000 BOWER HILL RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1873
Practice Address - Country:US
Practice Address - Phone:412-942-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
273196246QM0706X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246QM0706XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyMedical Technologist