NORTHEASTERN LABORATORY MEDICINE INC. NPI 1063433001

NPI Information

  • NPI: 1063433001
  • Provider Name: NORTHEASTERN LABORATORY MEDICINE, INC.
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Address: 271 N CEDAR ST
    HAZLETON, PA
    ZIP 18201
  • Phone: (570) 459-0479

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NPI Details

NORTHEASTERN LABORATORY MEDICINE, INC. is a clinical medical laboratory in Hazleton, PA. The provider is (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. NORTHEASTERN LABORATORY MEDICINE, INC. NPI is 1063433001. The provider is registered as an organization entity type.

The provider's business location address is:

271 N CEDAR ST
HAZLETON, PA
ZIP 18201-551
Phone: (570) 459-0479
Fax: (570) 459-5230

The provider's authorized official is Rodney H Rothwell .
The authorized official title is President and has the following contact phone number (570) 459-0479.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 11/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory000776PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERPENNSYLVANIATAX ID
2087355500OTHERPENNSYLVANIAFEDERAL BLACK LUNG PROGRA
3300141OTHERPENNSYLVANIABLUE SHIELD
4300141MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
50009004940002MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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