Organization Active NPI

Icura Diagnostics

Doing business as iCura Diagnostics, LLC

  • Clinical Medical Laboratory
  • Malvern, PA
National Provider Identifier
1750091146
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ICURA DIAGNOSTICS
Doing business as
iCura Diagnostics, LLC
Practice address
107 Great Valley Pkwy
Malvern, PA 19355-1309
Phone
(484) 588-6055
NPI assigned
Nov 28, 2022
Last updated
Jan 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Authorized official

Name
Dr. Buer Song, MDNPI 1750672747
Title
Ceo
Phone
(484) 763-2060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

107 Great Valley Pkwy
Malvern, PA 19355-1309

Mailing address

107 Great Valley Pkwy
Malvern, PA 19355-1309
Phone (484) 588-6055

Other names 2

  • iCura Diagnostics, LLC Doing business as
  • iCura Diagnostics, Inc. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260107002254 PA Part B Supplier - Independent Clinical Laboratory 0749766012 Practice locations: Malvern, PA

National Provider Directory

National Provider Directory

Locations

107 Great Valley Pkwy
Malvern, PA 19355
Phone (424) 645-2254

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1750091146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GREAT VALLEY PKWY",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551309",
            "telephone_number": "484-588-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GREAT VALLEY PKWY",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551309",
            "telephone_number": "484-588-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICURA DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "BUER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "484-763-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCura Diagnostics, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "iCura Diagnostics, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.