Organization Active NPI

Paragon Reference Laboratory LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Ashland, PA
National Provider Identifier
1932088861
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
PARAGON REFERENCE LABORATORY LLC
Practice address
103 Broad St Ste a
Ashland, PA 17921-2147
Phone
(570) 477-6722
NPI assigned
Aug 27, 2025
Last updated
Aug 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Authorized official

Name
Dr. Kevin Turner, DONPI 1184874125
Title
Medical Director
Phone
(513) 501-0529

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU Primary

Addresses

Primary practice location

103 Broad St Ste a
Ashland, PA 17921-2147

Mailing address

103 Broad St Ste a
Ashland, PA 17921-2147
Phone (570) 477-6722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251008000684 PA Part B Supplier - Clinic/Group Practice 2860999794 Receives reassigned benefits from 1 practitioner
Practice locations: Ashland, PA
O20251229000306 PA Part B Supplier - Independent Clinical Laboratory 2860999794 Practice locations: Ashland, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2315627Paragon Reference103 Broad St, Ashland, PA 17921RegistrationDec 16, 2026

National Provider Directory

National Provider Directory

Locations

103 Broad St
Ste A
Ashland, PA 17921
Phone (570) 477-6722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1932088861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BROAD ST STE A",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179212147",
            "telephone_number": "570-477-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BROAD ST STE A",
            "city": "ASHLAND",
            "state": "PA",
            "postal_code": "179212147",
            "telephone_number": "570-477-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON REFERENCE LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-501-0529",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.