Clinton Endocrine Laboratory

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CLINTON ENDOCRINE LABORATORY

Practice address

815 Locust St
Philadelphia, PA 19107-5504

Phone

(215) 922-2206

NPI assigned

Dec 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Helaine Wallace

Title

Laboratory Director

Phone

(610) 834-1230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699831354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075504",
            "telephone_number": "215-922-2206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075504",
            "telephone_number": "215-922-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON ENDOCRINE LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "HELAINE",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "610-834-1230",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Nephrology Assoc Inc PC (Metro Vascular Center)
• Clinical Nephrology Associates, LTD.
• Clinical Neuropsychology Associates, P.C.
• Clinical Research Philadelphia, LLC
• Nichelle Yvette Clinkscale, RPH
• Sara Clipp, CRNP
• Cliveden Center, LLC (AristaCare at Cliveden)
• Cliveden Nursing and Rehabilitation Center PA, LP
• Cliveden Operating, LLC (Cliveden Nursing and Rehabilitation Center)
• Cliveden- Maplewood Convalescent Center Inc

• Clinical Medical Laboratory in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.