Provider Demographics
NPI:1962772517
Name:GUTHRIE FOUNDATION FOR EDUCATION AND RESEARCH
Entity type:Organization
Organization Name:GUTHRIE FOUNDATION FOR EDUCATION AND RESEARCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE VP, CLINICAL AFFAIRS
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:BELARDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-887-3779
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-887-4656
Mailing Address - Fax:570-887-4884
Practice Address - Street 1:1 GUTHRIE SQ
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1625
Practice Address - Country:US
Practice Address - Phone:570-887-4656
Practice Address - Fax:570-887-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory