Laboratory of Podiatric Pathology, P.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

021451 Issued in PA

Legal business name

LABORATORY OF PODIATRIC PATHOLOGY, P.C.

Practice address

801 Arch St
Philadelphia, PA 19107-2413

Phone

(215) 238-9831

Fax

(215) 238-1873

NPI assigned

Jul 15, 2009

Last updated

Jul 15, 2009By 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

Dr. Harvey Lemont, DPM

Title

Podiatrist/Laboratory Director

Phone

(215) 238-9831

Specialties & licenses 1

Addresses

Other identifiers 6

Locations

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1235369059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ARCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072413",
            "telephone_number": "215-238-9831",
            "fax_number": "215-238-1873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ARCH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072413",
            "telephone_number": "215-238-9831",
            "fax_number": "215-238-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY OF PODIATRIC PATHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "LEMONT",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PODIATRIST/LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "215-238-9831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "021451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PERMIT",
            "identifier": "021451",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "LA300113",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1192666101",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "39D0657757",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PODIATRY LICENSE",
            "identifier": "LE137290",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAXONOMIES",
            "identifier": "291U00000X",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Engle Labensky, D.O.
• Bahaaeldin Labib, MD
• Aili Labidas, R.PH.
• James Labor, MD
• Elham Ellie Laborada
• Andrea T Laborde, MD
• Natalie Labossier, MD
• Fottfam Baguio Labouff, PA-C
• Tatyana Labovskaya, PHARMD.
• Lyana Labrada, M.D.

• Clinical Medical Laboratory in Philadelphia, PA
• Providers in Philadelphia, 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 Jul 15, 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.