The Elite Labs Group PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

THE ELITE LABS GROUP PA

Practice address

1400 Veterans Hwy
Suite 108
Levittown, PA 19056-2115

Phone

(215) 757-1800

NPI assigned

Oct 9, 2014

Organization subpart

No

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

Authorized official

Name

Edward Waddington

Title

Owner

Phone

(215) 757-1880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1821492570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7193",
            "city": "PENNDEL",
            "state": "PA",
            "postal_code": "190477193",
            "telephone_number": "215-757-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VETERANS HWY",
            "address_2": "SUITE 108",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190562115",
            "telephone_number": "215-757-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELITE LABS GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "WADDINGTON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-757-1880"
    },
    "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 Levittown, PA
• Providers in Levittown, 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 Oct 9, 2014; 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.