Provider Demographics
NPI:1306298823
Name:US CARDIO GREENSBURG LLC
Entity type:Organization
Organization Name:US CARDIO GREENSBURG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-405-9585
Mailing Address - Street 1:1675 STATE RT 51
Mailing Address - Street 2:SUITE 201
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025
Mailing Address - Country:US
Mailing Address - Phone:412-405-9585
Mailing Address - Fax:412-405-8631
Practice Address - Street 1:1675 ROUTE 51
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-3666
Practice Address - Country:US
Practice Address - Phone:412-405-9585
Practice Address - Fax:412-405-8631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-08
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty