Frontage Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FRONTAGE LABORATORIES, INC.

Practice address

700 Pennsylvania Dr
Exton, PA 19341-1129

Phone

(424) 645-2254

NPI assigned

Jun 15, 2020

Last updated

Jun 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Buer Song, MDNPI 1750672747

Title

VP, Pathology & Clinical Informatic

Phone

(424) 645-2254

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Buer Song, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Malvern, PA
  • NPI 1750672747
  Authorized official Same address or phone

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

{
    "created_epoch": "1592179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592179200000",
    "number": "1548885676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 PENNSYLVANIA DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411129",
            "telephone_number": "424-645-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PENNSYLVANIA DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411129",
            "telephone_number": "424-645-2254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTAGE LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-15",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "BUER",
        "authorized_official_title_or_position": "VP, PATHOLOGY & CLINICAL INFORMATIC",
        "authorized_official_telephone_number": "424-645-2254",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Exton, PA
• Providers in Exton, 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 Jun 15, 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.