NPIMap

Organization Active NPI

Evangelical Medical Services Organization

Doing business as EMSO Family Medical Care Lab

  • Clinical Medical Laboratory
  • Lewisburg, PA
National Provider Identifier
1760769442
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
MD058238L Issued in PA
Legal business name
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Doing business as
EMSO Family Medical Care Lab
Practice address
45 Forestwood Dr
Lewisburg, PA 17837-6213
Phone
(570) 524-5050
Fax
(570) 524-5250
NPI assigned
Nov 9, 2011
Last updated
Nov 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Andrew Gibbons
Title
Associate Vice President
Phone
(570) 522-4158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MD058238L PA Primary

Addresses

Primary practice location

45 Forestwood Dr
Lewisburg, PA 17837-6213

Mailing address

132 Hospital Dr
Lewisburg, PA 17837-9315
Phone (570) 522-4110

Other names 1

  • EMSO Family Medical Care Lab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewisburg Family Practi13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

132 Hospital Dr
Lewisburg, PA 17837

Practitioners & affiliated clinicians

Practitioners 3

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": "1320796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1760769442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 HOSPITAL DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379315",
            "telephone_number": "570-522-4110",
            "fax_number": "570-522-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 FORESTWOOD DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376213",
            "telephone_number": "570-524-5050",
            "fax_number": "570-524-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL MEDICAL SERVICES ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ASSOCIATE VICE PRESIDENT",
        "authorized_official_telephone_number": "570-522-4158"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "MD058238L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMSO Family Medical Care Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.