Active NPI
George Pueblitz, M.D.
Doing business as Sonis Pueblitz Lab
- Clinical Medical Laboratory
- Johnstown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- MD028921E
- Legal business name
- GEORGE PUEBLITZ, M.D.
- Doing business as
- Sonis Pueblitz Lab
- Practice address
- 891 Menoher Blvd
Johnstown, PA 15905-2839 - Phone
- (814) 539-3119
- Fax
- (814) 539-4137
- NPI assigned
- Oct 31, 2007
- Last updated
- Jun 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Pueblitz, M.D.
- Title
- President
- Phone
- (814) 539-3119
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | MD028921E | PA | Primary |
Addresses
Primary practice location
891 Menoher Blvd
Johnstown, PA 15905-2839
Mailing address
891 Menoher Blvd
Johnstown, PA 15905-2839
Phone (814) 539-3119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015183660002 | Medicaid | PA |
Other names 1
- Sonis Pueblitz Lab
National Provider Directory
National Provider Directory- Tax ID family
- George Pueblitz MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Johnstown, PA
- NPI 1598881823
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Johnstown, PA
- NPI 1508854399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464825600000",
"number": "1346429982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "891 MENOHER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159052839",
"telephone_number": "814-539-3119",
"fax_number": "814-539-4137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "891 MENOHER BLVD",
"city": "JOHNSTOWN",
"state": "PA",
"postal_code": "159052839",
"telephone_number": "814-539-3119",
"fax_number": "814-539-4137"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGE PUEBLITZ, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-31",
"last_updated": "2016-06-02",
"status": "A",
"authorized_official_last_name": "PUEBLITZ",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "814-539-3119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": "MD028921E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015183660002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sonis Pueblitz Lab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Johnstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.