Physicisns Clinical Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHYSICISNS CLINICAL LABORATORY

Practice address

148 N Sherman Court
Hazleton, PA 18201-5863

Phone

(570) 454-6301

Fax

(570) 454-6815

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey A Null, MD

Title

Partner

Phone

(570) 454-6301

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Frances Pascucci, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Hazleton, PA
  • NPI 1841218708
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427070440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 N SHERMAN COURT",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015863",
            "telephone_number": "570-454-6301",
            "fax_number": "570-454-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 N SHERMAN COURT",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015863",
            "telephone_number": "570-454-6301",
            "fax_number": "570-454-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICISNS CLINICAL LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NULL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "570-454-6301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "398005",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010108250002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy A Perillo, PA-C
• Christina Perry
• Shelby Linn Petro, LSW
• Gina Pfeiffer, MSOT
• Homiler Elie Phanor
• Constance M Piccolo
• Courtenay Pientka
• Pindar Physical Therapy Inc
• Pinnacle Treatment Centers PA-IX, LLC (Hazleton Treatment Services)
• Jeffrey Platek, MPT

• Clinical Medical Laboratory in Hazleton, PA
• Providers in Hazleton, 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 22, 2020; 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.