Moleculardx, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

032803 Issued in PA

Legal business name

MOLECULARDX, LLC

Practice address

620 7TH St
Suite C
Windber, PA 15963-1300

Phone

(814) 361-6993

Fax

(814) 361-6998

NPI assigned

Mar 6, 2015

Last updated

Aug 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sidney Goldblatt, MD

Title

President & Ceo

Phone

(814) 361-6993

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438905600000",
    "number": "1356734925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 7TH ST",
            "address_2": "SUITE C",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631300",
            "telephone_number": "814-361-6993",
            "fax_number": "814-361-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 7TH ST",
            "address_2": "SUITE C",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "159631300",
            "telephone_number": "814-361-6993",
            "fax_number": "814-361-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULARDX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-08-07",
        "status": "A",
        "authorized_official_last_name": "GOLDBLATT",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "814-361-6993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "032803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantel Maxwell
• Medical Group of Windber Inc.
• Frank Mele, LAPC
• Amy Miller, CRNP
• Taylor Marie Miller
• Steven Michael Muha, DDS
• Novus Pennsylvania Professional Corporation
• Oncology Hematology Association
• Ophthalmic Associates
• Jacqueline Lee Pawcio-Sprincz, CRNA

• Clinical Medical Laboratory in Windber, PA
• Providers in Windber, 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 Aug 7, 2015; 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.