Allegheny Clinic

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

39D0656992 Issued in PA

Legal business name

ALLEGHENY CLINIC

Doing business as

Suburban Clinical Laboratory

Practice address

100 S Jackson Ave
Pittsburgh, PA 15202-3428

Phone

(412) 734-6020

Fax

(412) 734-6044

NPI assigned

Oct 18, 2010

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barb Amadio

Title

Coordinator

Phone

(412) 330-5015

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suburban Clinical Laboratory Doing business as

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1073823571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S JACKSON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023428",
            "telephone_number": "412-734-6020",
            "fax_number": "412-734-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JACKSON AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152023428",
            "telephone_number": "412-734-6020",
            "fax_number": "412-734-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "AMADIO",
        "authorized_official_first_name": "BARB",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "412-330-5015"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D0656992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007317140373",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suburban Clinical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allegheny Clinic (AGH Physiatry)
• Allegheny Clinic (AHN Urology)
• Allegheny Clinic (Allegheny Pulmonary and Critical Care)
• Allegheny Clinic (Wexford Medical Practice)
• Allegheny Clinic (Suburban Radiology Center)
• Allegheny Clinic (Community Primary Care)
• Allegheny Clinic (AGH McGinnis Cardiovascular Institute)
• Allegheny Clinic (Allegheny Center for Digestive Health PhD)
• Allegheny Clinic (AHN Rodi Road Primary Care)
• Allegheny Clinic (AGH Radiation Oncology)

• Clinical Medical Laboratory in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.