NPIMap

Organization Active NPI

Olivero Medical Health Center

  • Clinical Medical Laboratory
  • Port Matilda, PA
National Provider Identifier
1407593080
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
OLIVERO MEDICAL HEALTH CENTER
Doing business as
Olivero Medical Laboratory
Practice address
1243 Skytop Mountain Rd # R1
Port Matilda, PA 16870-7725
Phone
(814) 499-3009
Fax
(814) 584-5751
NPI assigned
May 16, 2022
Organization subpart
Yes
Parent organization
OLIVERO MEDICAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Dr. Daniel Olivero, MD
Title
Medical Director
Phone
(814) 499-3009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1243 Skytop Mountain Rd # R1
Port Matilda, PA 16870-7725

Mailing address

1243 Skytop Mountain Rd # R1
Port Matilda, PA 16870-7725
Phone (814) 499-3009

Other names 1

  • Olivero Medical Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Olivero Med HLTH Ctr2 organizations share this tax ID, including this one
Part of
Olivero Med HLTH Ctr

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1407593080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD # R1",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD # R1",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERO MEDICAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLIVERO MEDICAL HEALTH CENTER",
        "enumeration_date": "2022-05-16",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-499-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olivero Medical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olivero Medical Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.