Organization Active NPI

Perll Diagnostics Inc

  • Clinical Medical Laboratory
  • Mechanicsburg, PA
National Provider Identifier
1851680656
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PERLL DIAGNOSTICS INC
Practice address
5010 Ritter Rd
Suite 104
Mechanicsburg, PA 17055
Phone
(717) 691-1500
Fax
(717) 691-5551
NPI assigned
Apr 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
Miss Feryal Nawaz
Title
President
Phone
(570) 394-2776

Specialties & licenses 1

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

Addresses

Primary practice location

5010 Ritter Rd
Suite 104
Mechanicsburg, PA 17055

Mailing address

5010 Ritter Rd
Suite 104
Mechanicsburg, PA 17055-4828
Phone (717) 691-1500

Other identifiers 2

IdentifierTypeStateIssuer
102599817-0001MedicaidPA
102599817-0002MedicaidPA

National Provider Directory

National Provider Directory

Locations

5010 Ritter Rd
Ste 104
Mechanicsburg, PA 17055
Phone (717) 691-1500

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1851680656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 RITTER RD",
            "address_2": "SUITE 104",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554828",
            "telephone_number": "717-691-1500",
            "fax_number": "717-691-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 RITTER RD",
            "address_2": "SUITE 104",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "17055",
            "telephone_number": "717-691-1500",
            "fax_number": "717-691-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLL DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "NAWAZ",
        "authorized_official_first_name": "FERYAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-394-2776",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102599817-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102599817-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.