Pegasus Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PEGASUS CLINICAL LABORATORY INC

Practice address

2000 Cabot Blvd W
Ste 110
Langhorne, PA 19047-2407

Phone

(215) 228-0200

NPI assigned

Oct 17, 2014

Last updated

Oct 18, 2014By 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

Rinku Gupta

Title

President

Phone

(215) 228-0200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413590400000",
    "number": "1265836308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MERIDIAN ROAD",
            "address_2": "STE 7",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08820",
            "telephone_number": "215-228-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CABOT BLVD W",
            "address_2": "STE 110",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190472407",
            "telephone_number": "215-228-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGASUS CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-18",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RINKU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-228-0200"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Langhorne, PA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2014; 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.