Slater Laboratories Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PA000502 Issued in PA

Legal business name

SLATER LABORATORIES INC

Practice address

1013 Menoher Blvd
Johnstown, PA 15905-2544

Phone

(814) 255-4772

Fax

(814) 255-4847

NPI assigned

Sep 30, 2005

Last updated

Jun 17, 2010By 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

Thomas C Slater

Title

Director

Phone

(814) 255-4772

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1245227727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052544",
            "telephone_number": "814-255-4772",
            "fax_number": "814-255-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 MENOHER BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159052544",
            "telephone_number": "814-255-4772",
            "fax_number": "814-255-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATER LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "814-255-4772"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "PA000502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "690409113",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007138020002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "S104398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranjit Singh, MD
• Janice Marie Siplivy-Hill, M.ED.
• Shriram P Sirsikar, M.D.
• Brittany N Skedel, CRNP
• Jon Robert Skupaka, D.C.
• Krista Jo Sloan, L.S.W.
• Kristina Marie Sloan
• Kelli Rae Slonka
• William E Smeal, MD
• Diana Smelter, CRNP

• Clinical Medical Laboratory in Johnstown, PA
• Providers in Johnstown, 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 Jun 17, 2010; 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.