Healthcare Provider Details

I. General information

NPI: 1609219161
Provider Name (Legal Business Name): ADAGIO HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2013
Last Update Date: 12/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 STAMBAUGH AVE
SHARON PA
16146-2775
US

IV. Provider business mailing address

960 PENN AVE SUITE 600
PITTSBURGH PA
15222-3818
US

V. Phone/Fax

Practice location:
  • Phone: 724-981-6250
  • Fax: 724-981-2190
Mailing address:
  • Phone: 412-288-2130
  • Fax: 412-288-9276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BJ LEBER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 412-288-2130