Healthcare Provider Details

I. General information

NPI: 1033214903
Provider Name (Legal Business Name): SOUTH HILLS DIAGNOSTIC & TREATMENT CENTER LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 12/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2589 BOYCE PLAZA RD
PITTSBURGH PA
15241-4907
US

IV. Provider business mailing address

2589 BOYCE PLAZA RD
PITTSBURGH PA
15241-4907
US

V. Phone/Fax

Practice location:
  • Phone: 412-838-0400
  • Fax: 412-838-0401
Mailing address:
  • Phone: 412-838-0400
  • Fax: 412-838-0401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number StatePA

VIII. Authorized Official

Name: MRS. BETH GAROFALO
Title or Position: ADMINISTRATOR
Credential: MBA
Phone: 412-232-8104