Organization Active NPI

Sab Group Inc.

Doing business as Sab Medical Services

  • Sonography Specialist/Technologist Cardiovascular
  • Churchville, PA
National Provider Identifier
1346381852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
42530 Issued in PA
Legal business name
SAB GROUP INC.
Doing business as
Sab Medical Services
Practice address
55 Addis Dr
Churchville, PA 18966-1167
Phone
(267) 250-0953
Fax
(215) 942-0862
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alex Skulsky
Title
Secretary
Phone
(267) 250-0953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist Cardiovascular 246XS1301X 42530 PA Primary

Addresses

Primary practice location

55 Addis Dr
Churchville, PA 18966-1167

Mailing address

55 Addis Dr
Churchville, PA 18966-1167
Phone (267) 250-0953

Other names 1

  • SAB MEDICAL SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120118000366 PA Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 3274700109 Practice locations: Southampton, PA

National Provider Directory

National Provider Directory

Locations

201 Lakeside Park
Southampton, PA 18966
Phone (215) 322-1058

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346381852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ADDIS DR",
            "city": "CHURCHVILLE",
            "state": "PA",
            "postal_code": "189661167",
            "telephone_number": "267-250-0953",
            "fax_number": "215-942-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ADDIS DR",
            "city": "CHURCHVILLE",
            "state": "PA",
            "postal_code": "189661167",
            "telephone_number": "267-250-0953",
            "fax_number": "215-942-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAB GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKULSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "267-250-0953",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "PA",
            "license": "42530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAB MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Churchville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.