Provider Demographics
NPI:1356920243
Name:SIGNATURE DIAGNOSTICS INC
Entity type:Organization
Organization Name:SIGNATURE DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LABORATORY GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JP
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-462-1841
Mailing Address - Street 1:1501 PREBLE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15233-2248
Mailing Address - Country:US
Mailing Address - Phone:412-677-0664
Mailing Address - Fax:412-214-8134
Practice Address - Street 1:1501 PREBLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-2248
Practice Address - Country:US
Practice Address - Phone:412-677-0664
Practice Address - Fax:412-214-8134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory