NPIMap

Organization Active NPI

Drexel University

Doing business as Drexel Medicine Diagnostics

  • Clinical Pathology/Laboratory Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1295424174
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
Legal business name
DREXEL UNIVERSITY
Doing business as
Drexel Medicine Diagnostics
Practice address
245 N 15TH St RM 5401
Philadelphia, PA 19102-1101
Phone
(267) 259-2518
NPI assigned
May 5, 2023
Last updated
Apr 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DREXEL UNIVERISTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Edward E Waldov
Title
Director of Revenue Cycle
Phone
(215) 255-7751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU Primary

Addresses

Primary practice location

245 N 15TH St RM 5401
Philadelphia, PA 19102-1101

Mailing address

245 N 15TH St Ste 6104
Philadelphia, PA 19102-1198
Phone (267) 359-2518

Other names 1

  • Drexel Medicine Diagnostics Doing business as

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
39D0966392Drexel Medicine Diagnostics245 N 15TH St, RM 5106, NCB, Philadelphia, PA 19102AccreditationJan 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Drexel University21 organizations share this tax ID, including this one
Part of
Drexel University

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Locations

245 N 15th St
Rm 5401
Philadelphia, PA 19102
Phone (267) 259-2518

NPI Registry JSON

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1295424174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST STE 6104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021198",
            "telephone_number": "267-359-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 15TH ST RM 5401",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021101",
            "telephone_number": "267-259-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREXEL UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DREXEL UNIVERISTY",
        "enumeration_date": "2023-05-05",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "WALDOV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "215-255-7751"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drexel Medicine Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drexel Medicine Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.