Organization Active NPI

Cernostics, Inc.

  • Clinical Medical Laboratory
  • Pittsburgh, PA
National Provider Identifier
1235671884
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
34818 Issued in PA
Legal business name
CERNOSTICS, INC.
Practice address
100 S Commons Ste 245
Pittsburgh, PA 15212-5359
Phone
(866) 788-9007
Fax
(855) 929-0022
NPI assigned
Nov 14, 2016
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Derek Maetzold
Title
Ceo
Phone
(832) 974-1551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 34818 PA Primary

Addresses

Primary practice location

100 S Commons Ste 245
Pittsburgh, PA 15212-5359

Mailing address

2014 San Miguel Dr
Friendswood, TX 77546-5913
Phone (866) 788-9007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170830000780 PA Part B Supplier - Independent Clinical Laboratory 1850664665 Practice locations: Pittsburgh, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2110302Cernostics, Inc (Castle Biosciences)100 S Commons #245, Pittsburgh, PA 15212AccreditationDec 20, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3737 N 7th St
Ste 160
Phoenix, AZ 85014
Phone (281) 796-9032

100 S Commons
Ste 245
Pittsburgh, PA 15212
Phone (866) 788-9007

235 William Pitt Way
Pittsburgh, PA 15238

Practitioners & affiliated clinicians

Practitioners 1

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": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1235671884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 SAN MIGUEL DR",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775465913",
            "telephone_number": "866-788-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S COMMONS STE 245",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125359",
            "telephone_number": "866-788-9007",
            "fax_number": "855-929-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "MAETZOLD",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-974-1551"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "34818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.