THOMAS LUPP II (NPI# 1417360462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417360462 |
| Entity Type | Individual |
| Full Name | THOMAS LUPP II |
| Practice Address |
4125 Longview Ave Erie PA 16510-3535 |
| Practice Telephone | 8148600777 |
| Mailing Telephone | 8148600777 |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2014-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291900000X | Military Clinical Medical Laboratory | Laboratories | ||
| N | 291U00000X | Clinical Medical Laboratory | 44317 | Laboratories | |
| Y | 291U00000X | Clinical Medical Laboratory | 1108070014 | Laboratories | |
| N | 291U00000X | Clinical Medical Laboratory | 4830 | HI | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| US DEPT OF HHS - CLINICAL LABORATORY TECHNOLOGIST | 1108070014 | 01 | |
| HI | STATE OF HAWAII MLT | 4830 | 01 |
| ASCP MLT | 44317 | 01 |
| Street Address |
4125 LONGVIEW AVE |
| City | ERIE |
| State | PA |
| Zip Code | 16510-3535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285115972 | Alexa Snyder | Occupational Therapist | 2544 Hope Dr Apt 1, Erie, PA 16510 | 2018-08-22 |
| 1538610977 | Valentine Ekule Ojong | Exclusive Provider Organization | 4173 Wood Hills Dr, Erie, PA 16510 | 2016-10-20 |
| 1295917177 | Kathy S Foltz | Nurse Practitioner | 1843 East 18th Street, Multicultural Health Evaluation Delivery Systems Inc, Erie, PA 16510 | 2007-12-03 |
| 1205910387 | Daryl Thomas Pierce | Dentist | 4626 Buffalo Road, Erie, PA 16510 | 2006-10-25 |
| 1326158155 | Robert Louis Baxter | Dentist | 3311 Buffalo Rd, Erie, PA 16510 | 2006-08-30 |
| 1538231543 | Halina B Wilczanski | Dentist | 5241 Buffalo Rd, Erie, PA 16510 | 2006-11-14 |
| 1518516897 | Helping Hands Angels LLC | Home Health | 1523 Prospect Ave, Erie, PA 16510-1041 | 2019-09-09 |
| 1932748357 | Global In-home Care LLC | Home Health | 2066 E 18th St, Erie, PA 16510-1118 | 2020-01-02 |
| 1699050526 | Judy Colleen Butler | Registered Nurse | 2068 E 20th St, Erie, PA 16510-1148 | 2011-10-11 |
| 1972779320 | Adrienne Michele Dixon-mccullum | Psychologist | 2513 Harrison St, Erie, PA 16510-1511 | 2008-05-06 |
| Find all providers in zip 16510 | ||||
| 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 |
|---|---|---|---|---|
| 1548688849 | Drugscan, Inc. | Clinical Medical Laboratory | 2618 Sigsbee St, Erie, PA 16508-1721 | 2014-04-03 |
| 1700175429 | Regional Health Services, Inc. | Clinical Medical Laboratory | 333 State St Ste 100, Erie, PA 16507-1463 | 2011-04-04 |
| 1205099421 | Kathleen Wieczorek | Clinical Medical Laboratory | 5050 W Ridge Rd Fl 2, Erie, PA 16506-1216 | 2008-07-08 |
| 1427133685 | Associated Clinical Laboratories | Clinical Medical Laboratory | 1526 Peach St, Erie, PA 16501-2110 | 2006-10-26 |
| 1346848298 | Millcreek Manor | Clinical Medical Laboratory | 5535 Peach St, Erie, PA 16509-2603 | 2020-10-13 |
| 1285282350 | Boulder Community Health | Clinical Medical Laboratory | 101 Erie Pkwy, Erie, CO 80516-4070 | 2019-08-30 |
| 1659817849 | Ob-gyn Associates of Erie Laboratory, LLC | Clinical Medical Laboratory | 100 Peach St, Suite 202, Erie, PA 16507-1423 | 2017-01-11 |
| 1528497245 | Pathology Associates of Erie Inc | Clinical Medical Laboratory | 1526 Peach St, Erie, PA 16501-2110 | 2013-11-04 |
| 1801177431 | Regional Health Services, Inc. | Clinical Medical Laboratory | 4125 W Ridge Rd, Erie, PA 16506-1763 | 2011-09-09 |
| 1922387067 | Regional Health Services, Inc. | Clinical Medical Laboratory | 17 Merline Ave, Erie, PA 16509-1567 | 2011-08-08 |
| Find all providers in ERIE | ||||
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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.