Medtoxdx LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

029704 Issued in PA

Legal business name

MEDTOXDX LLC

Practice address

310 Clay Ave
Jeannette, PA 15644-2120

Phone

(724) 522-5261

Fax

(724) 522-5170

NPI assigned

Mar 26, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Erum A Naqvi

Title

Lab Manager

Phone

(724) 522-5261

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MedTOX Diagnostics Doing business as

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1962674358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CLAY AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442120",
            "telephone_number": "724-522-5261",
            "fax_number": "724-522-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CLAY AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442120",
            "telephone_number": "724-522-5261",
            "fax_number": "724-522-5170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTOXDX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "ERUM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LAB MANAGER",
        "authorized_official_telephone_number": "724-522-5261",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "029704",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022072100001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedTOX Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Allen McLaughlin, DMD
• Melissa Jill McManus, LMFT
• McKenzie Means, CRNP
• Medexpress Urgent Care, PC - Pennsylvania
• Medical Wellness Associates PC
• Mercy Jeannette Hospital
• Mercy Jeannette Hospital
• Mercy Jeannette Hospital
• Mercy Jeannette Hospital
• Mercy Jeannette Hospital

• Clinical Medical Laboratory in Jeannette, PA
• Providers in Jeannette, 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 11, 2013; 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.