1700875358 NPI number — MR. ROBERT THOMAS PILARSKI M.S.

Table of content: MR. ROBERT THOMAS PILARSKI M.S. (NPI 1700875358)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700875358 NPI number — MR. ROBERT THOMAS PILARSKI M.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PILARSKI
Provider First Name:
ROBERT
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700875358
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2050 KENNY ROAD, 8TH FLOOR
Provider Second Line Business Mailing Address:
CLINICAL CANCER GENETICS
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-293-6694
Provider Business Mailing Address Fax Number:
614-293-2314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2050 KENNY ROAD, 8TH FLOOR
Provider Second Line Business Practice Location Address:
CLINICAL CANCER GENETICS
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-293-6694
Provider Business Practice Location Address Fax Number:
614-293-2314
Provider Enumeration Date:
10/17/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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