ST GEORGES LAB LLC (NPI# 1821541848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821541848 |
| Entity Type | Organization |
| Organization Name | ST GEORGES LAB LLC |
| Practice Address |
88 Osborne St Johnstown PA 15905-4146 |
| Practice Telephone | 8145390798 |
| Practice Fax Number | 8145364751 |
| Mailing Telephone | 8145390798 |
| Mailing Fax Number | 8145364751 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Authorized Official Name | DR. GEORGE J FREM (CEO) |
| Authorized Official Telephone | 8145390798 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
88 OSBORNE ST |
| City | JOHNSTOWN |
| State | PA |
| Zip Code | 15905-4146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315549 | George J Frem | Internal Medicine | 88 Osborne St, Johnstown, PA 15905-4146 | 2005-06-13 |
| 1831731249 | Home Dialysis Care LLC | Clinic/Center | 88 Osborne St, Johnstown, PA 15905-4146 | 2019-10-17 |
| 1487113627 | Samir Mallat | Internal Medicine | 88 Osborne St, Johnstown, PA 15905-4146 | 2019-03-18 |
| 1942773585 | Angela Marie Dill-simmons | Nurse Practitioner | 88 Osborne St, Johnstown, PA 15905-4146 | 2019-01-07 |
| 1740543974 | Nina M Rucosky | Dietitian, Registered | 88 Osborne St, Johnstown, PA 15905-4146 | 2012-06-22 |
| 1962768754 | Renal Care Consultants, PC | Dietitian, Registered | 88 Osborne St, Johnstown, PA 15905-4146 | 2012-04-05 |
| 1588894547 | Megan Claire Montag | Dietitian, Registered | 88 Osborne St, Johnstown, PA 15905-4146 | 2009-07-23 |
| 1811131782 | Prodigy Dialysis | Clinic/Center | 88 Osborne St, Johnstown, PA 15905-4146 | 2009-04-23 |
| 1740433648 | Renal Care Consultants, PC | Physician Assistant | 88 Osborne St, Johnstown, PA 15905-4146 | 2008-10-23 |
| 1629032024 | Deborah K Menzie | Family Medicine | 88 Osborne St, Johnstown, PA 15905-4146 | 2006-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552445 | Kristina Marie Sloan | Registered Nurse | Womens Center At Memorial Medical Center, 1111 Franklin St, Suite 210, Johnstown, PA 15905 | 2018-06-15 |
| 1376921403 | Joel Edward Messom | Obstetrics & Gynecology | 1111 Franklin St Ste 300, Johnstown, PA 15905 | 2015-05-08 |
| 1497091797 | Jessica Pacsai | Occupational Therapist | 807 Goucher Street, Johnstown, PA 15905 | 2012-12-14 |
| 1225396351 | Lusine Mesropyan | Surgery | 1086 Franklin Street Good Samaritan Building, Johnstown, PA 15905 | 2012-04-26 |
| 1467766931 | Kimberly Buchanan | Speech-Language Pathologist | 787 Goucher Street, Johnstown, PA 15905 | 2010-07-27 |
| 1205149846 | Lighthouse Medical, LLC | Clinic/Center | 507 Tire Hill Road, Suite 100, Johnstown, PA 15905 | 2010-07-26 |
| 1932357878 | Michael Cameron Sleet | Surgery | Dlp Conemaugh Memorial Hospital, 1086 Franklin Street, Johnstown, PA 15905 | 2008-09-04 |
| 1255528543 | Assisted Living Concepts Inc | Assisted Living Facility | 500 Cheney Oaks Drive, Johnstown, PA 15905 | 2007-10-01 |
| 1578766648 | Tamera Waggle | Nurse Anesthetist, Certified Registered | 1186 Franklin St., Johnstown, PA 15905 | 2007-06-07 |
| 1821206178 | Blue and Green Medical PC | Internal Medicine | 1743 Goucher Street, Johnstown, PA 15905 | 2007-05-18 |
| Find all providers in zip 15905 | ||||
| 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 |
|---|---|---|---|---|
| 1245227727 | Slater Laboratories Inc | Clinical Medical Laboratory | 1013 Menoher Blvd, Johnstown, PA 15905-2544 | 2005-09-30 |
| 1396097952 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 4901 Thompson Pkwy, Johnstown, CO 80534-6426 | 2012-10-08 |
| 1124396858 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 1141 Franklin St, Johnstown, PA 15905-4309 | 2011-12-08 |
| 1720389851 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 353 Market St, Suite 106, Johnstown, PA 15901-1711 | 2010-11-05 |
| 1578863148 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 1481 Eisenhower Blvd, Johnstown, PA 15904-3217 | 2010-10-28 |
| 1396062378 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 1111 Franklin St, Suite 410, Johnstown, PA 15905-4330 | 2010-04-29 |
| 1548415136 | Conemaugh Health Initiatives | Clinical Medical Laboratory | 1450 Scalp Ave, Suite 1000, Johnstown, PA 15904-3374 | 2008-11-24 |
| 1245419795 | Mckinley Ob/gyn Associates PC | Clinical Medical Laboratory | 1481 Eisenhower Blvd, Johnstown, PA 15904-3217 | 2007-11-01 |
| 1346429982 | George Pueblitz, M.d. | Clinical Medical Laboratory | 891 Menoher Blvd, Johnstown, PA 15905-2839 | 2007-10-31 |
| 1508083825 | Judith K. Volkar Md Inc. | Clinical Medical Laboratory | 1481 Eisenhower Blvd, Suite D, Johnstown, PA 15904-3217 | 2007-04-19 |
| Find all providers in JOHNSTOWN | ||||
Please comment or provide details below to improve the information on ST GEORGES LAB LLC.
| 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.