Olivero Rural Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OLIVERO RURAL LABORATORY INC

Practice address

1243 Skytop Mountain Rd Ste R1
Port Matilda, PA 16870-7725

Phone

(814) 499-3009

Fax

(814) 584-5751

NPI assigned

Sep 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Olivero, MDNPI 1902144512

Title

Medical Director

Phone

(814) 499-3009

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Daniel Olivero, M.D.

  • Family Medicine Physician
  • Port Matilda, PA
  • NPI 1902144512
  NPD (past) Authorized official

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1912627480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD STE R1",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 SKYTOP MOUNTAIN RD STE R1",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707725",
            "telephone_number": "814-499-3009",
            "fax_number": "814-584-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVERO RURAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "OLIVERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "814-499-3009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Okonski, MD
• Olivero Medical Health Center
• Olivero Medical Health Center
• Olivero Medical Health Center
• Olivero Rural Health Center Inc
• Olivero Rural Pharmacy, Inc
• Daniel Olivero Jr., MA
• Daniel Olivero, M.D.
• Jonathan Olivero, MA
• Soani Olivero

• Clinical Medical Laboratory in Port Matilda, PA
• Providers in Port Matilda, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.