NPIMap

Organization Active NPI

Evangelical Medical Services Organization

Doing business as EMSO Evan Family Medicine Lab

  • Clinical Medical Laboratory
  • Lewisburg, PA
National Provider Identifier
1679756993
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Doing business as
EMSO Evan Family Medicine Lab
Practice address
3 Hospital Dr
Suite 214
Lewisburg, PA 17837-9362
Phone
(570) 524-4242
Fax
(570) 524-2130
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Mrs. Kendra A. Aucker
Title
Vice President
Phone
(570) 522-2807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X PA Primary

Addresses

Primary practice location

3 Hospital Dr
Suite 214
Lewisburg, PA 17837-9362

Mailing address

130 Hospital Dr
Lewisburg, PA 17837-9315
Phone (570) 522-4134

Other names 1

  • EMSO Evan Family Medicine Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Emsf Lewisburg Fam Prac13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1679756993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379315",
            "telephone_number": "570-522-4134",
            "fax_number": "570-522-4120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOSPITAL DR",
            "address_2": "SUITE 214",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379362",
            "telephone_number": "570-524-4242",
            "fax_number": "570-524-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL MEDICAL SERVICES ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "AUCKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-522-2807",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMSO Evan Family Medicine Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.