Active NPI
Hope Pediatrics Lab
- Clinical Medical Laboratory
- Seneca, PA
National Provider Identifier
1124141239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HOPE PEDIATRICS LAB
- Practice address
- 3512 State Route 257
Seneca, PA 16346-2946 - Phone
- (814) 677-3717
- Fax
- (814) 677-8914
- NPI assigned
- Apr 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Gordon Hamm, MD
- Title
- Owner
- Phone
- (814) 677-3717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | PA | Primary |
Addresses
Primary practice location
3512 State Route 257
Seneca, PA 16346-2946
Mailing address
3512 State Route 257
Seneca, PA 16346-2946
Phone (814) 677-3717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019684030001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Glenn G Hamm MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Seneca, PA
- NPI 1184662231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124141239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3512 STATE ROUTE 257",
"city": "SENECA",
"state": "PA",
"postal_code": "163462946",
"telephone_number": "814-677-3717",
"fax_number": "814-677-8914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3512 STATE ROUTE 257",
"city": "SENECA",
"state": "PA",
"postal_code": "163462946",
"telephone_number": "814-677-3717",
"fax_number": "814-677-8914"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE PEDIATRICS LAB",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAMM",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-677-3717",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019684030001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seneca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.