Active NPI
Women'S Health and Laser Care
- Clinical Medical Laboratory
- Altoona, PA
National Provider Identifier
1942463518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 021591
- Legal business name
- WOMEN'S HEALTH AND LASER CARE
- Practice address
- 2918 6TH Ave
Altoona, PA 16602-1917 - Phone
- (814) 944-6055
- Fax
- (814) 944-1912
- NPI assigned
- Jul 3, 2008
- 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
- Stephen J Bisacco, MD
- Title
- Physician Ceo
- Phone
- (814) 944-6055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 021591 | PA | Primary |
Addresses
Primary practice location
2918 6TH Ave
Altoona, PA 16602-1917
Mailing address
2918 6TH Ave
Altoona, PA 16602-1917
Phone (814) 944-6055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100777132 | Medicaid | PA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215043200000",
"number": "1942463518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 6TH AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166021917",
"telephone_number": "814-944-6055",
"fax_number": "814-944-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 6TH AVE",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166021917",
"telephone_number": "814-944-6055",
"fax_number": "814-944-1912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMEN'S HEALTH AND LASER CARE",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-03",
"status": "A",
"authorized_official_last_name": "BISACCO",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PHYSICIAN CEO",
"authorized_official_telephone_number": "814-944-6055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PA",
"license": "021591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100777132",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, 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.