Provider Demographics
NPI:1538576376
Name:STEELFUSION CLINICAL TOXICOLOGY LABORATORY, LLC
Entity type:Organization
Organization Name:STEELFUSION CLINICAL TOXICOLOGY LABORATORY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:REISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:BS, HT, HTL (ASCP)
Authorized Official - Phone:724-691-0263
Mailing Address - Street 1:1103 DONNER AVE
Mailing Address - Street 2:
Mailing Address - City:MONESSEN
Mailing Address - State:PA
Mailing Address - Zip Code:15062-1058
Mailing Address - Country:US
Mailing Address - Phone:724-691-0263
Mailing Address - Fax:724-420-5783
Practice Address - Street 1:1103 DONNER AVE
Practice Address - Street 2:
Practice Address - City:MONESSEN
Practice Address - State:PA
Practice Address - Zip Code:15062-1058
Practice Address - Country:US
Practice Address - Phone:724-691-0263
Practice Address - Fax:724-420-5783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39D2010034OtherCLIA