Seneca Medical Lab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

029257 Issued in PA

Legal business name

SENECA MEDICAL LAB, INC.

Practice address

401 Commerce Dr
Suite 200
Fort Washington, PA 19034-2714

Phone

(215) 643-9960

Fax

(215) 643-9963

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Joan Leslie Hogan

Title

Controller

Phone

(215) 643-9960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548215304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 200",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "215-643-9960",
            "fax_number": "215-643-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 200",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "215-643-9960",
            "fax_number": "215-643-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA MEDICAL LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "215-643-9960"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "029257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101523037001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shana Jean Schwartz, MSS LSW
• Scott a. Fleischer, M.D., P.C.
• Matthew Eakins Seabrook, PT, MS
• Tracy Seabrook
• Nina Sellers, PTA
• Kenneth Sensenig, MA, MFT
• Jason Shaller, DPT
• Shangri-la Psychological
• Donna Dreyer Shelow, OTR
• Shine Healthcare Group LLC

• Clinical Medical Laboratory in Fort Washington, PA
• Providers in Fort Washington, 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.