Extract Labs & Diagnostics

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

EXTRACT LABS & DIAGNOSTICS

Practice address

1841 Route 209 Ste 103
Brodheadsville, PA 18322-7133

Phone

(347) 851-9037

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Ebony Stephanie LoraNPI 1275254351

Title

Owner

Phone

(347) 851-9037

Specialties & licenses 1

Addresses

Other names 1

• Extract Labs & Diagnostics Former legal business name

Locations

Practitioners 1

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

• Ebony S Lora, CPCT/A PHLEBOTOMIST

  • Phlebotomy Technician
  • Tobyhanna, PA
  • NPI 1275254351

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1497439277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 ROUTE 209 STE 103",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227133",
            "telephone_number": "347-851-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 ROUTE 209 STE 103",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183227133",
            "telephone_number": "347-851-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRACT LABS & DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "LORA",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-851-9037",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Extract Labs & Diagnostics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vincent David, PHARMD
• Matt De George
• Hadir Dweidar, CCC-SLP
• Brittany Erlsten
• Dwight Daniel Evans, MA, M.DIV., LPC
• Alison Lorraine Fennell, MA LPC
• Finding Peace in the Poconos LLC
• Foundations Christian Counseling Services
• Frank Gary Romascavage DO
• Michael S. Frigiola, D.C.

• Phlebotomy Technician in Brodheadsville, PA
• Providers in Brodheadsville, PA by specialty
• Phlebotomy Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.