Active NPI
Neutron Laboratory Inc
- Clinical Pathology/Laboratory Medicine Physician
- Mechanicsburg, PA
National Provider Identifier
1679226609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- Legal business name
- NEUTRON LABORATORY INC
- Practice address
- 100 Bianca CT
Mechanicsburg, PA 17050-1878 - Phone
- (570) 394-2794
- NPI assigned
- Jan 31, 2022
- 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
- Jamal Kizilbash
- Title
- Owner
- Phone
- (570) 394-2794
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | Primary |
Addresses
Primary practice location
100 Bianca CT
Mechanicsburg, PA 17050-1878
Mailing address
100 Bianca CT
Mechanicsburg, PA 17050-1878
Phone (570) 394-2794
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1679226609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BIANCA CT",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170501878",
"telephone_number": "570-394-2794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BIANCA CT",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170501878",
"telephone_number": "570-394-2794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUTRON LABORATORY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "KIZILBASH",
"authorized_official_first_name": "JAMAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "570-394-2794"
},
"taxonomies": [
{
"code": "207ZP0105X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.