Organization Active NPI

Allegheny Clinic

Doing business as HEALTH plus WELLNESS PAVILION CLINICAL LAB

  • Clinical Medical Laboratory
  • Wexford, PA
National Provider Identifier
1740698596
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALLEGHENY CLINIC
Doing business as
HEALTH plus WELLNESS PAVILION CLINICAL LAB
Practice address
12311 Perry Highway
Wexford, PA 15090
Phone
(412) 330-5112
Fax
(412) 330-5522
NPI assigned
Jul 24, 2014
Last updated
Sep 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Denise Noel
Title
Manager Enrollment/Regulatory Suppo
Phone
(412) 330-5112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12311 Perry Highway
Wexford, PA 15090

Mailing address

12311 Perry Highway
Wexford, PA 15090
Phone (412) 330-5112

Other names 1

  • HEALTH plus WELLNESS PAVILION CLINICAL LAB Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2088156Allegheny Clinic Dba Wexford HLTH & Wellness Pav12311 Perry Highway, Wexford, PA 15090Provider-performed microscopyDec 10, 2026
39D2093386Allegheny Clinic Dba Wexford Surgery Center12311 Perry Highway, Wexford, PA 15090Certificate of waiverMar 25, 2027
39D2179928Allegheny General Hospital Cardiac Rehabilitation12311 Perry Highway FL 1, Wexford, PA 15090Certificate of waiverMar 3, 2028

National Provider Directory

National Provider Directory

Locations

122 Nature Park Rd
Greensburg, PA 15601

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1740698596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 PERRY HIGHWAY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "412-330-5112",
            "fax_number": "412-330-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12311 PERRY HIGHWAY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "15090",
            "telephone_number": "412-330-5112",
            "fax_number": "412-330-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-24",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "NOEL",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER ENROLLMENT/REGULATORY SUPPO",
        "authorized_official_telephone_number": "412-330-5112"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH plus WELLNESS PAVILION CLINICAL LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.