Eastern Community Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

33294 Issued in PA

Legal business name

EASTERN COMMUNITY LAB, LLC

Practice address

454 W. Valley Ave.
Elysburg, PA 17824

Phone

(570) 672-1111

Fax

(570) 672-1103

NPI assigned

Oct 23, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Punit Patel

Title

Manager

Phone

(817) 287-8044

Specialties & licenses 1

Addresses

Member of 1

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

• Associates in Hematology-Oncology, P.C.

  • Hematology & Oncology Physician
  • Upland, PA
  • NPI 1891771044

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1275961641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 W. VALLEY AVE.",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "17824",
            "telephone_number": "570-672-1111",
            "fax_number": "570-672-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 W. VALLEY AVE.",
            "city": "ELYSBURG",
            "state": "PA",
            "postal_code": "17824",
            "telephone_number": "570-672-1111",
            "fax_number": "570-672-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN COMMUNITY LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PUNIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-287-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "33294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Chilinskas
• Rachel Susan Day, DO
• Huguette Marie-Patience Disasi, DPM
• Timothy G Doyle, MD
• Bradley D Dudeck, PHARMD
• William W Ehmann Jr., PHARMD
• Elysburg Fire Company No 1
• Destiny Eppinette, LMT
• Adam Ronald Gajkowski, DNP
• William H Gearhart Jr., DC

• Clinical Medical Laboratory in Elysburg, PA
• Providers in Elysburg, 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 May 4, 2017; 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.