NPIMap

Organization Active NPI

Soli F Tavaria MC PC

Doing business as AMZ Laboratory

  • Clinical Medical Laboratory
  • Minersville, PA
National Provider Identifier
1932319639
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
000877 Issued in PA
Legal business name
SOLI F TAVARIA MC PC
Doing business as
AMZ Laboratory
Practice address
105 N Delaware Ave
Minersville, PA 17954
Phone
(570) 544-6424
Fax
(570) 544-2734
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Mr. Soli F Tavaria, MDNPI 1649258690
Title
Owner
Phone
(570) 544-6424

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
Clinical Medical Laboratory 291U00000X 000877 PA Primary

Addresses

Primary practice location

105 N Delaware Ave
Minersville, PA 17954

Mailing address

105 N Delaware Ave
Minersville, PA 17954
Phone (570) 544-6424

Other identifiers 2

IdentifierTypeStateIssuer
1007495120001MedicaidPA
39D0657443OtherPACLIA CERTIFICATION

Other names 1

  • AMZ Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amz Laboratory2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

105 N Delaware Ave
Minersville, PA 17954
Phone (570) 544-6424

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1932319639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N DELAWARE AVE",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "17954",
            "telephone_number": "570-544-6424",
            "fax_number": "570-544-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N DELAWARE AVE",
            "city": "MINERSVILLE",
            "state": "PA",
            "postal_code": "17954",
            "telephone_number": "570-544-6424",
            "fax_number": "570-544-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLI F TAVARIA MC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "TAVARIA",
        "authorized_official_first_name": "SOLI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-544-6424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "000877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007495120001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATION",
            "identifier": "39D0657443",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMZ Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minersville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.