Pharma Genlabs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PHARMA GENLABS, LLC

Practice address

8170 South Ave Ste 3
Youngstown, OH 44512-6434

Phone

(330) 953-1093

NPI assigned

Feb 27, 2022

Organization subpart

No

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

Authorized official

Name

Timothy Cherotti

Title

Owner

Phone

(330) 953-1093

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1645920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1821744905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 SOUTH AVE STE 3",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126434",
            "telephone_number": "330-953-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 SOUTH AVE STE 3",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445126434",
            "telephone_number": "330-953-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMA GENLABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-27",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "CHEROTTI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-953-1093"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pettway-Mauzy
• Tracey L Petuch, LPC
• Natalie Pezzone, M.A., BCBA
• Thomasina Paulette Pfeifer
• Loretta Ann Pflug
• Pharmacy Care Associates
• Martia J Phfer
• Jeff Phifer III, LPN
• Natisha Angel Phifer
• Philip a Leone DDS Inc

• Clinical Medical Laboratory in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.