Provider Demographics
NPI:1285911495
Name:ITXM DIAGNOSITICS
Entity type:Organization
Organization Name:ITXM DIAGNOSITICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P. & CHIEF SCIENCE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:L
Authorized Official - Last Name:CORTESE HASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-209-7345
Mailing Address - Street 1:5 PARKWAY CTR
Mailing Address - Street 2:875 GREENTREE ROAD
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3608
Mailing Address - Country:US
Mailing Address - Phone:412-209-7316
Mailing Address - Fax:
Practice Address - Street 1:3636 BOULEVARD OF THE ALLIES
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-4306
Practice Address - Country:US
Practice Address - Phone:412-209-7320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSTITUTE FOR TRANSFUSION MEDICINE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD438567261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty