TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA (NPI# 1457568883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457568883 |
| Entity Type | Organization |
| Organization Name | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA |
| Other Organization Name | UPPL-UNIV OF PENN PATHOLOGY LABS |
| Practice Address |
3400 Spruce St Philadelphia PA 19104-4206 |
| Mailing Address |
3624 Market St Suite 560w Philadelphia PA 19104-2614 |
| Practice Telephone | 8007366522 |
| Mailing Telephone | 2156622286 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | ELIZABETH JOHNSTON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2156627583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE | 0265914000 | 01 |
| PA | BLUE SHIELD | 133759 | 01 |
| PA | HEALTHPARTNERS | 10377 | 01 |
| PA | 1001258770065 | 05 |
| Other Name | Type Code |
|---|---|
| UPPL-UNIV OF PENN PATHOLOGY LABS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366835910 | Trustees of The University of Pennsylvania | Pharmacy | 3400 Civic Center Blvd # 101w, Philadelphia, PA 19104-5127 | 2015-03-06 |
| 1538210380 | Trustees of The University of Pennsylvania | PACE Provider Organization | 4101 Woodland Ave, Philadelphia, PA 19104-4510 | 2007-01-16 |
| 1629128814 | Trustees of The University of Pennsylvania | Dentist | 240 South 40th Street, Philadelphia, PA 19104-6003 | 2007-01-11 |
| 1922029982 | Trustees of The University of Pennsylvania | Pharmacy | 145 King of Prussia Rd Ste 109n, Radnor, PA 19087-4557 | 2006-07-22 |
| 1992788350 | Trustees of The University of Pennsylvania | Durable Medical Equipment & Medical Supplies | 625 Clark Ave, Suite 10, King of Prussia, PA 19406-1438 | 2005-11-21 |
| 1659829877 | Trustees of The University of Pennsylvania | Pharmacy | 1001 Chesterbrook Blvd, 1st Floor, Berwyn, PA 19312-3805 | 2016-09-16 |
| 1023373511 | Trustees of The University of Pennsylvania | Internal Medicine | 3400 Spruce St, Ground Floor Donner, Philadelphia, PA 19104-4206 | 2012-07-10 |
| 1740411651 | Trustees of The University of Pennsylvania | Family Medicine | 3535 Market St, Ste 100, Philadelphia, PA 19104-3309 | 2009-07-28 |
| 1972780419 | Trustees of The University of Pennsylvania | Pharmacy | 3400 Spruce St, Ravdin 1, Philadelphia, PA 19104-4238 | 2008-01-28 |
| 1720107303 | Trustees of The University of Pennsylvania | Surgery | 3400 Spruce St, 4th Floor Silverstein, Philadelphia, PA 19104-4206 | 2007-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA | 3451 Walnut Street, Philadelphia, PA 19104 |
| Street Address |
3400 SPRUCE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415966 | Samuel Isaiah Parry | Obstetrics & Gynecology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2005-05-24 |
| 1831790609 | Renate Marie Balitzky | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-11-06 |
| 1053911156 | Jordan Charles Templeton | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4274 | 2020-10-28 |
| 1992305304 | Alyssa N Volpe | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1700486115 | Christina Haddow | Registered Nurse | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-27 |
| 1629677497 | Marissa Leigh Berlant | Physician Assistant | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-22 |
| 1811595523 | Kristen Gilgen | Anesthesiology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-10-14 |
| 1962014654 | Stacey Pham | Nurse Practitioner | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-08-23 |
| 1265040109 | Abdullah T Almuqate | Pathology | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-07-16 |
| 1952928541 | Stefen Andrianus | Student in an Organized Health Care Education/Training Program | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| 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 |
|---|---|---|---|---|
| 1841660149 | Katina Carter | Clinical Medical Laboratory | 7018 Saybrook Ave, Philadelphia, PA 19142-1124 | 2015-09-29 |
| 1952736266 | Divine Touch Mobile Phlebotomy Service | Clinical Medical Laboratory | 6725 Grovers Ave, Philadelphia, PA 19142-2608 | 2013-09-05 |
| 1962641563 | Rosetta Genomics, Inc. | Clinical Medical Laboratory | 3711 Market St, Suite 740, Philadelphia, PA 19104-5504 | 2009-02-05 |
| 1154590701 | On The Go Mobile Phlebotomy Service Inc. | Clinical Medical Laboratory | 4201 Aspen St, Philadelphia, PA 19104-1431 | 2008-02-28 |
| 1699831354 | Clinton Endocrine Laboratory | Clinical Medical Laboratory | 815 Locust St, Philadelphia, PA 19107-5504 | 2006-12-28 |
| 1588743660 | American Red Cross Pj-region | Clinical Medical Laboratory | 700 Spring Garden St, Philadelphia, PA 19123-3508 | 2006-11-02 |
| 1639157829 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1122 E Main St, Philadelphia, MS 39350-2329 | 2006-01-06 |
| 1437662772 | Absolutecare of Philadelphia, LLC | Clinical Medical Laboratory | 1080 N Delaware Ave Ste 800, Philadelphia, PA 19125 | 2017-11-08 |
| 1184012569 | University of Penn-medical Group | Clinical Medical Laboratory | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2015-01-07 |
| 1497057020 | Esoterix Genetic Counseling | Clinical Medical Laboratory | 833 Chestnut St, Ste 1250, Philadelphia, PA 19107-4414 | 2010-12-02 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
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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.