Active NPI
Perll Diagnostics Inc
- Clinical Medical Laboratory
- Mechanicsburg, PA
National Provider Identifier
1851680656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102599817-0001 | Medicaid | PA | |
| 102599817-0002 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.