Central Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CENTRAL LAB LLC

Practice address

454 W Valley Ave
Elysburg, PA 17824-7247

Phone

(570) 672-1111

Fax

(570) 672-1100

NPI assigned

Oct 23, 2014

Organization subpart

No

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

Authorized official

Name

Naren Srivastava

Title

Administrator

Phone

(570) 374-8555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1285039008",
    "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": "178247247",
            "telephone_number": "570-672-1111",
            "fax_number": "570-672-1100"
        },
        {
            "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": "178247247",
            "telephone_number": "570-672-1111",
            "fax_number": "570-672-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "SRIVASTAVA",
        "authorized_official_first_name": "NAREN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-374-8555"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kaye Boltinghouse, RPH
• Neil Breskiewicz, DDS
• Susan Marie Brown, PHARMD
• Lacey Kay Bruner, PHARMD
• Douglas Scott Buffington, DO
• Central PA Prosthetics/Orthotics, Inc
• Rachel Chesney
• Michelle Chilinskas
• Rachel Susan Day, DO
• Huguette Marie-Patience Disasi, DPM

• 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 Oct 23, 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.