Pacific Edge Diagnostics USA LTD.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PACIFIC EDGE DIAGNOSTICS USA LTD.

Practice address

1214 Research Blvd
Suite 2000
Hummelstown, PA 17036-9196

Phone

(717) 220-7005

Fax

(717) 220-7006

NPI assigned

Mar 27, 2012

Organization subpart

Yes

Parent organization

PACIFIC EDGE LTDAs reported in NPPES

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

Authorized official

Name

David Levison

Title

President

Phone

(650) 862-2001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Part of

Pacific Edge LTD

Locations

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1710253596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 RESEARCH BLVD",
            "address_2": "SUITE 2000",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369196",
            "telephone_number": "717-220-7005",
            "fax_number": "717-220-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 RESEARCH BLVD",
            "address_2": "SUITE 2000",
            "city": "HUMMELSTOWN",
            "state": "PA",
            "postal_code": "170369196",
            "telephone_number": "717-220-7005",
            "fax_number": "717-220-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EDGE DIAGNOSTICS USA LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PACIFIC EDGE LTD",
        "enumeration_date": "2012-03-27",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "LEVISON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-862-2001"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Hummelstown, PA
• Providers in Hummelstown, 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 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.