| NPI | 1952586927 |
|---|---|
| Former Legal Business Name | TRI STATE MEDICAL GROUP, INC. |
| Entity Type | Organization |
| Authorized Contact | NORMAN F. MITRY President And CEO 724-773-4776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: PA 020430) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2012-05-14 |