Heritage Valley Medical Group Inc.
Organization Active NPI Clinical Medical Laboratory · Ambridge, PA
NPI 1013193473 · NPPES record last updated Jun 29, 2012
Key facts
- NPI
- 1013193473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 000895 (PA)
- Legal business name
- HERITAGE VALLEY MEDICAL GROUP INC.
- Practice address
- 1155 Merchant St
Ambridge, PA 15003-2375 - Phone
- (724) 266-1261
- Fax
- (724) 266-7621
- NPI assigned
- Jan 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Mr. Norman F. Mitry
- Title
- President and Ceo
- Phone
- (724) 773-4776
Corporate family (same tax ID) 15
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2051584 | Heritage Valley Medical Group Sma | Certificate of waiver | Dec 20, 2026 |
National Provider Directory
- Tax ID family
- Tri - State Medical Group Inc
Locations
2360 Hospital Dr
Aliquippa, PA 15001
Phone (724) 378-0830
72 1st St
Ambridge, PA 15003
Phone (724) 266-3239
280 Ohio Riv Blvd
Baden, PA 15005
Phone (724) 869-6002
1101 5th Ave
Coraopolis, PA 15108
Phone (412) 262-4555
993 Brodhead Rd
Moon Twp, PA 15108
Phone (412) 264-1918
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 000895 | PA | Yes |
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
- HVMG Lab
Other providers in Ambridge, PA
- Theresa Marie Gnjatovich
- Valerie Terese Grabowski
- Guided Growth Christian Counseling, LLC
- Deidra Halapin
- Michael Alvin Harris
- Heritage Valley Medical Group, Inc
- John Charles Hricik
- Internal Medicine Associates
- Alaina J James
- Rachael Johnston
All providers in Ambridge, PA · Clinical Medical Laboratory in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.