Organization Active NPI

Women'S Health and Laser Care

  • Clinical Medical Laboratory
  • Altoona, PA
National Provider Identifier
1942463518
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
021591 Issued in PA
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

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
Stephen J Bisacco, MD
Title
Physician Ceo
Phone
(814) 944-6055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100777132MedicaidPA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.