MAIN LINE CLINICAL LABORATORIES (NPI# 1750407045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750407045 |
| Entity Type | Organization |
| Organization Name | MAIN LINE CLINICAL LABORATORIES |
| Other Organization Name | MAIN LINE HOSPITAL BRYN MAWR |
| Practice Address |
130 S Bryn Mawr Ave Bryn Mawr PA 19010-3121 |
| Mailing Address |
950 E Haverford Rd Suite 110 Bryn Mawr PA 19010-3850 |
| Practice Telephone | 6102294100 |
| Mailing Telephone | 6105268480 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MICHAEL J BUONGIORNO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6105268480 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 000213 | PA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0015758270003 | 05 |
| Other Name | Type Code |
|---|---|
| Main Line Hospital Bryn Mawr | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669598959 | Main Line Clinical Laboratories | Clinical Medical Laboratory | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2007-03-21 |
| 1578689865 | Main Line Clinical Laboratories | Clinical Medical Laboratory | 255 W Lancaster Ave, Paoli, PA 19301-1763 | 2007-03-21 |
| Street Address |
130 S BRYN MAWR AVE |
| City | BRYN MAWR |
| State | PA |
| Zip Code | 19010-3121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770589459 | William H Pfeffer | Obstetrics & Gynecology | 130 S Bryn Mawr Ave, Suite 1000 D Wing, Bryn Mawr, PA 19010-3121 | 2005-06-27 |
| 1013525740 | Elizabeth Ferber Lindvig | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3143 | 2020-07-20 |
| 1578171484 | Vincent Anthony Migliori | Podiatrist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-07-16 |
| 1013532282 | Daniel Kim | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1083239206 | Zachariah Taylor | Urology | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2020-06-12 |
| 1124666953 | Julianne Keller Kwiatkowski | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-12-11 |
| 1457993974 | Lee A Petroski | Physical Therapist | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-16 |
| 1013559871 | Amber Brooke Lallo | Physician Assistant | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-10-14 |
| 1023661352 | Stephanie Nicole Libes | Nurse Practitioner | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-07-16 |
| 1386205839 | Joshua Kim | Student in an Organized Health Care Education/Training Program | 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010-3121 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003462169 | Nada Farag | Dentist | 275 S Bryn Mawr Ave., #d04, Bryn Mawr, PA 19010 | 2019-08-14 |
| 1841764669 | For Eyes Optical of Pa | Optometrist | 1211 W Lancaster Ave, Rosemont, PA 19010 | 2019-01-15 |
| 1205355617 | Julia Peyton Vollmer | Student in an Organized Health Care Education/Training Program | 415 S Ithan Ave, Bryn Mawr, PA 19010 | 2017-09-18 |
| 1235657081 | Megan Christine Rosenblatt | Nurse Practitioner | 925 W Lancaster Ave Ste 210, Bryn Mawr, PA 19010 | 2017-08-31 |
| 1720511561 | Victoria Mckenna | Nurse Practitioner | 830 Old Lancaster Rd Ste 300, Bryn Mawr, PA 19010 | 2017-04-08 |
| 1922544014 | Andrew John D'amico | Behavioral Analyst | 1030 East Lancaster Ave., Suite L-10, Bryn Mawr, PA 19010 | 2017-01-12 |
| 1487105615 | Primal Physical Therapy,llc | Physical Therapist | 1111 E Lancaster Ave, Bryn Mawr, PA 19010 | 2016-10-24 |
| 1730636234 | Denise Lindsay Currier | Optometrist | 1062 E. Lancaster Ave, Suite 15d, Rosemont, PA 19010 | 2016-09-01 |
| 1518353754 | Elise Paquin | Student in an Organized Health Care Education/Training Program | 135 S Bryn Mawr Ave Ste 205, Bryn Mawr, PA 19010 | 2015-04-14 |
| 1679980064 | Main Line Counseling Partners | Social Worker | 1084 E. Lancaster Avenue, Bryn Mawr, PA 19010 | 2014-07-17 |
| Find all providers in zip 19010 | ||||
| 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 |
|---|---|---|---|---|
| 1821343849 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 933 E Haverford Rd, Bryn Mawr, PA 19010-3819 | 2012-07-16 |
| 1144504333 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 937 E Haverford Rd, Suite 102a, Bryn Mawr, PA 19010-3800 | 2011-10-06 |
| 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.