Organization Active NPI

Colonial Clinic, P.C.

  • Clinical Medical Laboratory
  • Sarver, PA
National Provider Identifier
1154393544
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
OS008948L Issued in PA
Legal business name
COLONIAL CLINIC, P.C.
Practice address
706 Ekastown Rd
Sarver, PA 16055-9724
Phone
(724) 353-1508
Fax
(724) 353-2040
NPI assigned
Feb 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Katherine L. Kroneberg
Title
Receptionist
Phone
(724) 353-1508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X OS008948L PA Primary
Pharmacy 333600000X OS003532L PA

Addresses

Primary practice location

706 Ekastown Rd
Sarver, PA 16055-9724

Mailing address

706 Ekastown Rd
Sarver, PA 16055-9724
Phone (724) 353-1508

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1154393544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 EKASTOWN RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559724",
            "telephone_number": "724-353-1508",
            "fax_number": "724-353-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 EKASTOWN RD",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160559724",
            "telephone_number": "724-353-1508",
            "fax_number": "724-353-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KRONEBERG",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "724-353-1508",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "OS008948L",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "OS003532L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.