Organization Active NPI

JRMC Diagnostic Services LLC

  • Clinical Medical Laboratory
  • Clairton, PA
National Provider Identifier
1861453276
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
JRMC DIAGNOSTIC SERVICES LLC
Practice address
1200 Brooks Lane
Ste G40
Clairton, PA 15025
Phone
(412) 469-8950
Fax
(412) 469-8980
NPI assigned
Mar 28, 2006
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
Al Ragan
Title
Treasurer
Phone
(412) 205-6095

Specialties & licenses 1

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

Addresses

Primary practice location

1200 Brooks Lane
Ste G40
Clairton, PA 15025

Mailing address

1200 Brooks Lane
Ste G40
Clairton, PA 15025
Phone (412) 469-8950

Other identifiers 4

IdentifierTypeStateIssuer
1008795530001MedicaidPA
1592294OtherPAHIGHMARK
2215435OtherPAFIRST HEALTH
99959030OtherPARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

L3247
Columbus, OH 43260

1200 Brooks Ln
#640
Clairton, PA 15025
Phone (412) 469-8950

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861453276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LANE",
            "address_2": "STE G40",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "15025",
            "telephone_number": "412-469-8950",
            "fax_number": "412-469-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LANE",
            "address_2": "STE G40",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "15025",
            "telephone_number": "412-469-8950",
            "fax_number": "412-469-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRMC DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAGAN",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "412-205-6095"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008795530001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1592294",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "2215435",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "99959030",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clairton, 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.