NPIMap

Organization Active NPI

Conemaugh Health Initiatives

Doing business as Paul A. Raymond Laboratory

  • Clinical Medical Laboratory
  • Cresson, PA
National Provider Identifier
1972630242
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
MD013554E Issued in PA
Legal business name
CONEMAUGH HEALTH INITIATIVES
Doing business as
Paul A. Raymond Laboratory
Practice address
225 Keystone Ave
Cresson, PA 16630-1214
Phone
(814) 886-4635
Fax
(814) 886-5470
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Elaine M Lambert
Title
President
Phone
(814) 534-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MD013554E PA Primary

Addresses

Primary practice location

225 Keystone Ave
Cresson, PA 16630-1214

Mailing address

1086 Franklin St
Johnstown, PA 15905-4305
Phone (814) 410-8300

Other identifiers 1

IdentifierTypeStateIssuer
1007755950005MedicaidPA

Other names 1

  • Paul A. Raymond Laboratory Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Conemaugh Health Initiatives38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972630242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 FRANKLIN ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054305",
            "telephone_number": "814-410-8300",
            "fax_number": "814-410-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 KEYSTONE AVE",
            "city": "CRESSON",
            "state": "PA",
            "postal_code": "166301214",
            "telephone_number": "814-886-4635",
            "fax_number": "814-886-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONEMAUGH HEALTH INITIATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-534-1630"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "MD013554E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007755950005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paul A. Raymond Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cresson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.