1356657159 NPI number — LEVEL3EMR

Table of content: (NPI 1356657159)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356657159 NPI number — LEVEL3EMR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LEVEL3EMR
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LEVEL3MPS
Provider Other Organization Name Type Code:
3
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:
1356657159
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/31/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 BILMAR DR
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15205-4606
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-960-5000
Provider Business Mailing Address Fax Number:
412-960-5059

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 BILMAR DR
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15205-4606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-960-5000
Provider Business Practice Location Address Fax Number:
412-960-5059
Provider Enumeration Date:
08/31/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BORO
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
JOSEPH
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
412-960-5000

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111NI0013X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111NR0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2255A2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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