Active NPI
Novum Laboratory, LLC
- Clinical Medical Laboratory
- Altoona, PA
National Provider Identifier
1780182949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NOVUM LABORATORY, LLC
- Practice address
- 313 E Pleasant Valley Blvd
Altoona, PA 16602-5512 - Phone
- (814) 943-1272
- Fax
- (814) 254-4092
- NPI assigned
- Jan 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Florentina Mayko
- Title
- Ceo/Owner
- Phone
- (814) 467-4055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
313 E Pleasant Valley Blvd
Altoona, PA 16602-5512
Mailing address
247 York Rd
Carlisle, PA 17013-3157
Phone (814) 943-1271
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1516665600000",
"number": "1780182949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "247 YORK RD",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133157",
"telephone_number": "814-943-1271",
"fax_number": "814-245-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 E PLEASANT VALLEY BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166025512",
"telephone_number": "814-943-1272",
"fax_number": "814-254-4092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVUM LABORATORY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A",
"authorized_official_last_name": "MAYKO",
"authorized_official_first_name": "FLORENTINA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "814-467-4055"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.