LEBANON INTERNAL MEDICINE ASSOCIATES PC (NPI# 1417009291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417009291 |
| Entity Type | Organization |
| Organization Name | LEBANON INTERNAL MEDICINE ASSOCIATES PC |
| Practice Address |
755 Norman Dr Lebanon PA 17042-7497 |
| Practice Telephone | 7172736706 |
| Practice Fax Number | 7172731435 |
| Mailing Telephone | 7172736706 |
| Mailing Fax Number | 7172731435 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-11-13 |
| Authorized Official Name | ANDREA L SIANIS (BILLING MANAGER) |
| Authorized Official Telephone | 7172736706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 000438 | PA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GATEWAY | 1525917 | 01 |
| PA | 1007532100007 | 05 |
| Street Address |
755 NORMAN DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330718 | Ernesto Gutierrez | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2005-07-18 |
| 1962910372 | Gwendolyn Sumter-davis | Nurse Practitioner | 755 Norman Dr, Lebanon, PA 17042-7497 | 2018-01-19 |
| 1205347481 | Patrick Lello | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-10-16 |
| 1912418146 | Katie Nicole Dresch | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-10-16 |
| 1467974139 | Maria Huffman | Nurse Practitioner | 755 Norman Dr, Lebanon, PA 17042-7497 | 2017-07-13 |
| 1134534571 | Joji James | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2014-06-24 |
| 1891078937 | Danielle L. Poltersdorf | Physician Assistant | 755 Norman Dr, Credentials Dept, Lebanon, PA 17042-7497 | 2011-09-26 |
| 1245563436 | Adeel Ahmed Siddiqui | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-09-07 |
| 1942439260 | Georgett Zaki | Internal Medicine | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-07-08 |
| 1861636995 | Esther Voynow | Physician Assistant | 755 Norman Dr, Lebanon, PA 17042-7497 | 2009-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831462159 | Celdara Medical LLC | Clinical Medical Laboratory | 16 Cavendish Ct, Suite 240, Lebanon, NH 03766-1441 | 2012-02-16 |
| 1801851233 | Woodbury Clinical Laboratory, Inc. | Clinical Medical Laboratory | 305 E High St, Lebanon, TN 37087-2901 | 2006-04-19 |
| 1114534708 | Dartmouth-hitchcock Clinic | Clinical Medical Laboratory | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2020-09-28 |
| 1558493767 | Witham Memorial Hospital | Clinical Medical Laboratory | 2605 N Lebanon St, Lebanon, IN 46052-1476 | 2007-03-12 |
| 1083757348 | Spring View Hospital LLC | Clinical Medical Laboratory | 320 Loretto Rd, Lebanon, KY 40033-1300 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144830266 | Lifesensors, Inc. | Clinical Medical Laboratory | 271 Great Valley Pkwy, Malvern, PA 19355-1308 | 2020-08-04 |
| 1891312179 | Allora Laboratory, LLC | Clinical Medical Laboratory | 405 Saint Johns Church Rd Ste 104, Camp Hill, PA 17011-5739 | 2020-07-02 |
| 1548885676 | Frontage Laboratories, Inc. | Clinical Medical Laboratory | 700 Pennsylvania Dr, Exton, PA 19341-1129 | 2020-06-15 |
| 1003439191 | Testing Centers of America LLC | Clinical Medical Laboratory | 411 Swedeland Rd, King of Prussia, PA 19406-2716 | 2020-05-22 |
| 1760003313 | Anpac Technology Usa Co Ltd | Clinical Medical Laboratory | 727 Norristown Rd., 3 Spring House Innovation Park Suite 150, Lower Gywnedd, PA 19002 | 2020-05-05 |
| 1922635739 | Contamination Source Identification LLC | Clinical Medical Laboratory | 419 14th St, Huntingdon, PA 16652-1937 | 2020-03-24 |
| 1821623703 | Dj Lab LLC | Clinical Medical Laboratory | 2550 Brodhead Rd Ste 202, Bethlehem, PA 18020-8922 | 2020-03-11 |
| 1568095099 | Truchoice Diagnostics LLC | Clinical Medical Laboratory | 135 Midway Dr., Dubois, PA 15801-3857 | 2020-02-12 |
| 1134770720 | Central Pennsylvania Alliance Laboratory LLC | Clinical Medical Laboratory | 1803 Mount Rose Ave Ste C-3c4, York, PA 17403-3026 | 2019-09-25 |
| 1578125761 | Allergenis, LLC | Clinical Medical Laboratory | 2801 Sterling Dr, Hatfield, PA 19440-1956 | 2019-07-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.