NPIMap

Organization Active NPI

Regional Health Services, Inc.

Doing business as Your Pediatric Connection West

  • Clinical Medical Laboratory
  • Erie, PA
National Provider Identifier
1699095760
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REGIONAL HEALTH SERVICES, INC.
Doing business as
Your Pediatric Connection West
Practice address
4022 Zuck Rd
Erie, PA 16506-4592
Phone
(814) 877-5424
Fax
(814) 877-5423
NPI assigned
Jun 10, 2010
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Jason N Roeback
Title
President
Phone
(814) 877-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

4022 Zuck Rd
Erie, PA 16506-4592

Mailing address

717 State St
Suite 16, LL
Erie, PA 16501-1341
Phone (814) 877-7100

Other names 1

  • Your Pediatric Connection West Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John R Pyles79 organizations share this tax ID, including this one
Part of
John R Pyles

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1699095760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 STATE ST",
            "address_2": "SUITE 16, LL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011341",
            "telephone_number": "814-877-7100",
            "fax_number": "814-877-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 ZUCK RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165064592",
            "telephone_number": "814-877-5424",
            "fax_number": "814-877-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES, INC.",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "ROEBACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-4242"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Your Pediatric Connection West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2010; 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.