NPIMap

Organization Active NPI

Hyatt P Degreen Gamma Laboratory

  • Clinical Medical Laboratory
  • Lancaster, PA
National Provider Identifier
1174698443
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
39D0657394 Issued in PA
Legal business name
HYATT P DEGREEN GAMMA LABORATORY
Practice address
1858 Charter LN
Suite 202
Lancaster, PA 17605-0396
Phone
(717) 291-1313
Fax
(717) 291-6866
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Hyatt Peter Degreen, MD
Title
President
Phone
(717) 291-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 39D0657394 PA Primary

Addresses

Primary practice location

1858 Charter LN
Suite 202
Lancaster, PA 17605-0396

Mailing address

1858 Charter LN
Suite 202
Lancaster, PA 17605-0396
Phone (717) 291-1313

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1174698443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1858 CHARTER LN",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176050396",
            "telephone_number": "717-291-1313",
            "fax_number": "717-735-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1858 CHARTER LN",
            "address_2": "SUITE 202",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176050396",
            "telephone_number": "717-291-1313",
            "fax_number": "717-291-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYATT P DEGREEN GAMMA LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "DEGREEN",
        "authorized_official_first_name": "HYATT",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-291-1313",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D0657394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.