Medarbor LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

39D2132328 Issued in PA

Legal business name

MEDARBOR LLC

Practice address

200 Rittenhouse Circle East Building Suite 1
Bristol, PA 19007-1625

Phone

(888) 590-0808

NPI assigned

Jul 17, 2017

Organization subpart

No

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

Authorized official

Name

Matthew Legowski

Title

Operation

Phone

(609) 703-5097

Specialties & licenses 1

Addresses

Other names 1

• MedArbor Diagnostics Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Medarbor LLC

  • Clinical Medical Laboratory
  • Sunrise, FL
  • NPI 1831855576

  6204100738

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Medarbor LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Medarbor LLC

  • Community/Retail Pharmacy
  • Bristol, PA
  • NPI 1407088156
  NPD tax ID
• Medarbor LLC

  • Clinical Medical Laboratory
  • Sunrise, FL
  • NPI 1831855576
  NPD tax ID

Locations

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1477076941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIR BLDG SUITE1",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190071619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIRCLE EAST BUILDING SUITE 1",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190071625",
            "telephone_number": "888-590-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDARBOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "LEGOWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OPERATION",
        "authorized_official_telephone_number": "609-703-5097"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "39D2132328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedArbor Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedArbor Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Briana McCloskey, M.A., LPC
• Regina A McIntyre, SLP
• Henry McKenzie Jr., RNFA
• Elizabeth Anne McLaughlin, CRNP
• Medarbor LLC
• Julianne Faith Meiser, LCSW
• Melcy Home Care Agency LLC
• Mental Health Partnerships
• Merakey Bucks County
• Merakey Bucks County

• Clinical Medical Laboratory in Bristol, PA
• Providers in Bristol, 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 May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.