NPIMap

Organization Active NPI

Heritage Valley Medical Group Inc.

Doing business as HVMG Lab

  • Clinical Medical Laboratory
  • Ambridge, PA
National Provider Identifier
1013193473
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
000895 Issued in PA
Legal business name
HERITAGE VALLEY MEDICAL GROUP INC.
Doing business as
HVMG Lab
Practice address
1155 Merchant St
Ambridge, PA 15003-2375
Phone
(724) 266-1261
Fax
(724) 266-7621
NPI assigned
Jan 16, 2008
Last updated
Jun 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Norman F. Mitry
Title
President and Ceo
Phone
(724) 773-4776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 000895 PA Primary

Addresses

Primary practice location

1155 Merchant St
Ambridge, PA 15003-2375

Mailing address

2 Peartree Way
Beaver, PA 15009-1954
Phone (724) 728-4171

Other names 1

  • HVMG Lab Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2051584Heritage Valley Medical Group Sma1155 Merchant Street, Ambridge, PA 15003Certificate of waiverDec 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tri State Medical Group92 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

280 Ohio Riv Blvd
Baden, PA 15005
Phone (724) 869-6002

300 Penn Lincoln Dr
Imperial, PA 15126
Phone (724) 695-2411

935 Thorn Run Rd
Ste 204
Moon Township, PA 15108
Phone (412) 299-7400

2591 Wexford Bayne Rd
Ste 206
Sewickley, PA 15143
Phone (724) 935-2620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1013193473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PEARTREE WAY",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091954",
            "telephone_number": "724-728-4171",
            "fax_number": "724-728-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MERCHANT ST",
            "city": "AMBRIDGE",
            "state": "PA",
            "postal_code": "150032375",
            "telephone_number": "724-266-1261",
            "fax_number": "724-266-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VALLEY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "MITRY",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "724-773-4776",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "000895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HVMG Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ambridge, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.