Provider Demographics
NPI:1174967228
Name:ITXM DIAGNOSTICS INC
Entity type:Organization
Organization Name:ITXM DIAGNOSTICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:GIAQUINTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-209-7302
Mailing Address - Street 1:875 GREENTREE RD
Mailing Address - Street 2:5 PARKWAY CENTER
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-3508
Mailing Address - Country:US
Mailing Address - Phone:412-290-7300
Mailing Address - Fax:
Practice Address - Street 1:5505 PEARL ST
Practice Address - Street 2:
Practice Address - City:ROSEMONT
Practice Address - State:IL
Practice Address - Zip Code:60018-5317
Practice Address - Country:US
Practice Address - Phone:847-260-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ITXM DIAGNOSTICS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory