Organization Active NPI

John M Vasil

  • Clinical Medical Laboratory
  • Northern Cambria, PA
National Provider Identifier
1841479375
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JOHN M VASIL
Practice address
1704 Philadelphia Ave
Northern Cambria, PA 15714-1180
Phone
(814) 948-0775
Fax
(814) 948-0746
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Elaine M Lambert
Title
President
Phone
(814) 534-1630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1704 Philadelphia Ave
Northern Cambria, PA 15714-1180

Mailing address

1704 Philadelphia Ave
Northern Cambria, PA 15714-1180
Phone (814) 948-0775

Other identifiers 2

IdentifierTypeStateIssuer
0019147430003MedicaidPA
N5J0918249OtherPABLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1841479375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 PHILADELPHIA AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141180",
            "telephone_number": "814-948-0775",
            "fax_number": "814-948-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 PHILADELPHIA AVE",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141180",
            "telephone_number": "814-948-0775",
            "fax_number": "814-948-0746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M VASIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-534-1630"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019147430003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "N5J0918249",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northern Cambria, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.