Organization Active NPI

Primemed, P.C.

Doing business as Viewmont Medical LABS

  • Clinical Medical Laboratory
  • Clarks Summit, PA
National Provider Identifier
1023243391
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
030946 Issued in PA
Legal business name
PRIMEMED, P.C.
Doing business as
Viewmont Medical LABS
Practice address
100 Abington Executive Park
Suite C
Clarks Summit, PA 18411-2258
Phone
(570) 207-3333
Fax
(570) 702-8131
NPI assigned
May 15, 2009
Last updated
Aug 25, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
PRIMEMED, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Authorized official

Name
Myron Sidloski, CAO
Title
Chief Administrative Officer
Phone
(570) 558-7412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 030946 PA Primary

Addresses

Primary practice location

100 Abington Executive Park
Suite C
Clarks Summit, PA 18411-2258

Mailing address

5 Morgan Hwy
Suite 6
Scranton, PA 18508-2641
Phone (570) 558-7414

Other identifiers 2

IdentifierTypeStateIssuer
2097690OtherPABLUE SHIELD
100750818MedicaidPA

Other names 1

  • Viewmont Medical LABS Doing business as

National Provider Directory

National Provider Directory
Part of
Anthony W Freda

Locations

100 S Abington Rd
Ste C
Clarks Green, PA 18411
Phone (570) 207-3333

100 William St
Dunmore, PA 18510
Phone (570) 558-2400

532 Main St
Ste 1
Moosic, PA 18507
Phone (570) 471-3569

50 N Walnut St
Nanticoke, PA 18634
Phone (570) 258-2365

221 River St
Olyphant, PA 18447
Phone (570) 383-3636

320 Keystone Ave
Peckville, PA 18452
Phone (570) 489-0871

85 Sturges Rd
Laurels Mid Vly Asst Living
Peckville, PA 18452
Phone (570) 383-9855

1530 Sanderson Ave
Scranton, PA 18509
Phone (570) 207-2787

203 Franklin Ave
Fl 3
Scranton, PA 18503
Phone (570) 344-7484

712 Harrison Ave
Scranton, PA 18510
Phone (570) 346-2045

743 S Main Ave
Scranton, PA 18504
Phone (570) 969-0693

819 Jefferson Ave
Scranton, PA 18510
Phone (570) 346-5951

231 Northern Blvd
Ste 3
South Abington Township, PA 18411
Phone (570) 586-4141

790 Northern Blvd
Ste K
South Abington Township, PA 18411
Phone (570) 586-4141

816 S Main St
Taylor, PA 18517
Phone (570) 562-3806

100 Dunmore St
Throop, PA 18512
Phone (570) 383-1155

596 Honesdale Rd
Waymart, PA 18472
Phone (570) 488-6093

Practitioners & affiliated clinicians

Practitioners 6

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": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1023243391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MORGAN HWY",
            "address_2": "SUITE 6",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185082641",
            "telephone_number": "570-558-7414",
            "fax_number": "570-207-4287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ABINGTON EXECUTIVE PARK",
            "address_2": "SUITE C",
            "city": "CLARKS SUMMIT",
            "state": "PA",
            "postal_code": "184112258",
            "telephone_number": "570-207-3333",
            "fax_number": "570-702-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEMED, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMEMED, P.C.",
        "enumeration_date": "2009-05-15",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "SIDLOSKI",
        "authorized_official_first_name": "MYRON",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "570-558-7412",
        "authorized_official_credential": "CAO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "030946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2097690",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100750818",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Viewmont Medical LABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarks Summit, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.