Provider Demographics
NPI:1316272958
Name:INFINITY DIAGNOSTICS LLC
Entity type:Organization
Organization Name:INFINITY DIAGNOSTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:MELAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-231-7005
Mailing Address - Street 1:9 APPALOOSA CT
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2591
Mailing Address - Country:US
Mailing Address - Phone:267-231-7005
Mailing Address - Fax:215-701-1862
Practice Address - Street 1:9 APPALOOSA CT
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-2591
Practice Address - Country:US
Practice Address - Phone:267-231-7005
Practice Address - Fax:215-701-1862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory