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Contact Information

THOMAS LUPP II
4125 LONGVIEW AVE
ERIE, PA16510-3535
 Phone: 814-860-0777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Military Clinical Medical Laboratory

291900000X B4[14] Histocompatibility Laboratory
Indicates primary specialty

NPI Profile & details for

NPI # 1417360462
Entity Organization
Organization subpart 1 Not specified
Enumeration date 06/07/2014
Last updated 06/07/2014 - About 12 years ago
Identifiers
License # 1108070014
License # 44317
HI License # 4830
Other 44317 ASCP MLT
Other 1108070014 US DEPT OF HHS - CLINICAL LABORATORY TECHNOLOGIST
HI Other 4830 STATE OF HAWAII MLT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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