Active NPI
Laboratory Associates of Erie LLC
- Clinical Medical Laboratory
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 39D0679874
- Legal business name
- LABORATORY ASSOCIATES OF ERIE LLC
- Practice address
- 100 Peach St
Suite 202
Erie, PA 16507-1423 - Phone
- (814) 459-1851
- Fax
- (814) 456-0541
- NPI assigned
- Jan 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael A Scutella
- Title
- MD/Laboratory Director
- Phone
- (814) 459-1851
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 39D0679874 | PA | Primary |
Addresses
Primary practice location
100 Peach St
Suite 202
Erie, PA 16507-1423
Mailing address
100 Peach St
Suite 202
Erie, PA 16507-1423
Phone (814) 459-1851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170202002014 | PA | Part B Supplier - Independent Clinical Laboratory | 4587947270 | Practice locations: Erie, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2135920 | Laboratory Associates of Erie LLC | Compliance | Jan 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
100 Peach St
Ste 202
Erie, PA 16507
Phone (814) 459-1851
Practitioners & affiliated clinicians
Practitioners 33
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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-
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-
- Midwife
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-
- Medical Physician Assistant
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-
- Obstetrics & Gynecology Physician
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-
- Physical Therapist
- Erie, PA
- NPI 1922370840
-
- Obstetrics & Gynecology Physician
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-
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-
- Obstetrics & Gynecology Physician
- Erie, PA
- NPI 1316386329
-
- Obstetrics & Gynecology Physician
- Erie, PA
- NPI 1215376223
-
- Internal Medicine Physician
- Erie, PA
- NPI 1023072329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1659817849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PEACH ST",
"address_2": "SUITE 202",
"city": "ERIE",
"state": "PA",
"postal_code": "165071423",
"telephone_number": "814-459-1851",
"fax_number": "814-456-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PEACH ST",
"address_2": "SUITE 202",
"city": "ERIE",
"state": "PA",
"postal_code": "165071423",
"telephone_number": "814-459-1851",
"fax_number": "814-456-0541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY ASSOCIATES OF ERIE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-11",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "SCUTELLA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MD/LABORATORY DIRECTOR",
"authorized_official_telephone_number": "814-459-1851"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": "39D0679874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.