NPIMap

Organization Active NPI

Princeton Biomedical Laboratories

  • Clinical Medical Laboratory
  • Bristol, PA
National Provider Identifier
1831222074
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
000156 Issued in PA
Legal business name
PRINCETON BIOMEDICAL LABORATORIES
Practice address
2921 Veterans Hwy
Bristol, PA 19007-1605
Phone
(215) 785-5200
Fax
(215) 785-6400
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Syed Iqbal Haider
Title
Ceo
Phone
(215) 785-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 000156 PA Primary

Addresses

Primary practice location

2921 Veterans Hwy
Bristol, PA 19007-1605

Mailing address

2921 Veterans Hwy
Bristol, PA 19007-1605
Phone (215) 785-5200

Other identifiers 1

IdentifierTypeStateIssuer
0011208540004MedicaidPA

National Provider Directory

National Provider Directory

Locations

2921 Veterans Hwy
Bristol, PA 19007
Phone (215) 785-5200

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831222074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 VETERANS HWY",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190071605",
            "telephone_number": "215-785-5200",
            "fax_number": "215-785-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 VETERANS HWY",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190071605",
            "telephone_number": "215-785-5200",
            "fax_number": "215-785-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON BIOMEDICAL LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "IQBAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-785-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "000156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011208540004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.