Healthcare Provider Details

I. General information

NPI: 1841284700
Provider Name (Legal Business Name): LIFECOR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 FREEPORT RD
BLAWNOX PA
15238-3411
US

IV. Provider business mailing address

121 FREEPORT RD
BLAWNOX PA
15238-3411
US

V. Phone/Fax

Practice location:
  • Phone: 412-826-9300
  • Fax: 412-826-1024
Mailing address:
  • Phone: 412-826-9300
  • Fax: 412-826-1024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number6000002602
License Number StatePA

VIII. Authorized Official

Name: MR. MICHAEL L SAPORITO
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 412-826-2108