Healthcare Provider Details

I. General information

NPI: 1194795070
Provider Name (Legal Business Name): MARLBOROUGH HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 06/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 OLD HAYMAKER RD STE 1700 PARKWAY BLDG
MONROEVILLE PA
15146
US

IV. Provider business mailing address

339 OLD HAYMAKER RD STE 1700 PARKWAY BLDG
MONROEVILLE PA
15146
US

V. Phone/Fax

Practice location:
  • Phone: 412-373-8300
  • Fax: 412-373-7027
Mailing address:
  • Phone: 412-373-8300
  • Fax: 412-373-7027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number800016595
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number331
License Number StatePA

VIII. Authorized Official

Name: ROBERT H SWEDARSKY
Title or Position: MEDICAL DIRECTOR SOLE MEMBER OF LLC
Credential: MD
Phone: 412-373-8300