Organization Active NPI

Upmc Memorial

  • Clinical Medical Laboratory
  • York, PA
National Provider Identifier
1669077194
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
UPMC MEMORIAL
Practice address
1701 Innovation Dr
York, PA 17408-8815
Phone
(717) 843-8623
NPI assigned
Dec 2, 2020
Last updated
Dec 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Authorized official

Name
Patrice A Taleff
Title
VP, Revenue Cycle
Phone
(717) 230-3790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1701 Innovation Dr
York, PA 17408-8815

Mailing address

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

Other names 1

  • UPMC Memorial Ref Lab Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0187764Upmc Memorial1701 Innovation Drive, York, PA 17408AccreditationFeb 27, 2027
39D2151638Upmc Pinnacle Memorial Poc1701 Innovation Drive, York, PA 17408AccreditationOct 28, 2027
39D2224948Upmc Community Paramedicine1701 Innovation Drive, York, PA 17408Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Upmc Memorial5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1669077194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-843-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 INNOVATION DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174088815",
            "telephone_number": "717-843-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC MEMORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "TALEFF",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP, REVENUE CYCLE",
        "authorized_official_telephone_number": "717-230-3790"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Memorial Ref Lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.