PENNJE LABORATORY SERVICES LLC NPI 1770717365

NPI Information

  • NPI: 1770717365
  • Provider Name: PENNJE LABORATORY SERVICES, LLC
  • Classification: Pathology - 207ZP0101X
  • Specialization: Anatomic Pathology
  • Entity Type: Organization
  • Address: 2591 BAGLYOS CIRCLE
    SUITE C-48
    BETHLEHEM, PA
    ZIP 18020
  • Phone: (484) 821-0520

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NPI Details

PENNJE LABORATORY SERVICES, LLC is an anatomic pathology pathology in Bethlehem, PA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. PENNJE LABORATORY SERVICES, LLC NPI is 1770717365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2591 BAGLYOS CIRCLE
SUITE C-48
BETHLEHEM, PA
ZIP 18020
Phone: (484) 821-0520
Fax: (484) 821-0530

The provider's authorized official is Mohamed A Abdulla .
The authorized official title is Medical Director and has the following contact phone number (484) 821-0520.

The enumeration date for this NPI number is 5/11/2009 and was last updated on 5/11/2009.

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
1207ZC0500XPathologyCytopathologyNJ-25MA07827100NEW JERSEYNo
2207ZC0500XPathologyCytopathologyMYC-232717NEW YORKNo
3207ZC0500XPathologyCytopathologyPA-MD047282LPENNSYLVANIANo
4207ZD0900XPathologyDermatopathologyNJ-25MA07827100NEW JERSEYNo
5207ZD0900XPathologyDermatopathologyNY-232717NEW YORKNo
6207ZD0900XPathologyDermatopathologyPA-MD047282LPENNSYLVANIANo
7207ZP0101XPathologyAnatomic PathologyNJ-25MA07827100NEW JERSEYNo
8207ZP0101XPathologyAnatomic PathologyNYC-232717NEW YORKNo
9207ZP0101XPathologyAnatomic PathologyPA-MD047282LPENNSYLVANIAYes

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
10060275MEDICAIDPENNSYLVANIA

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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