NPIMap

Organization Active NPI

Cedar Crest Emergicenter Laboratory

  • Clinic/Center
  • Allentown, PA
National Provider Identifier
1659397909
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CEDAR CREST EMERGICENTER LABORATORY
Practice address
1101 S Cedar Crest Blvd
Allentown, PA 18103-7902
Phone
(610) 435-3111
Fax
(610) 432-5953
NPI assigned
Jul 13, 2006
Organization subpart
Yes
Parent organization
CEDAR CREST EMERGICENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
David Jay Shingles, D.O.
Title
Medical Director
Phone
(610) 435-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1101 S Cedar Crest Blvd
Allentown, PA 18103-7902

Mailing address

1101 S Cedar Crest Blvd
Allentown, PA 18103-7902
Phone (610) 435-3111

Other identifiers 2

IdentifierTypeStateIssuer
305404OtherPAHIGHMARK BLUE SHIELD
0041290002OtherPAKEYSTONE HEALTH PLAN EAST

National Provider Directory

National Provider Directory
Tax ID family
Cedar Crest Emergicenter Laboratory5 organizations share this tax ID, including this one
Part of
Cedar Crest Emergicenter Laboratory

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1659397909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037902",
            "telephone_number": "610-435-3111",
            "fax_number": "610-432-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181037902",
            "telephone_number": "610-435-3111",
            "fax_number": "610-432-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR CREST EMERGICENTER LABORATORY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR CREST EMERGICENTER",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SHINGLES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "610-435-3111",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "305404",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "0041290002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.