MEDICARE: SENIOR FIRST DIAGNOSTICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1427926526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SENIOR FIRST DIAGNOSTICS LLC

Provider Business Mailing Address
First Line	:	425 S WOODS MILL RD STE 290
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-3441
Country	:	US
Telephone Number	:	570-291-8496
Fax Number	:	866-791-0425

Provider Business Practice Location Address
First Line	:	1 ALBERIGI DR STE 109
Second Line	:
City	:	JESSUP
State	:	PA
Zip	:	18434-1831
Country	:	US
Telephone Number	:	570-291-8496
Fax Number	:	866-791-0425

Authorized Official
Title or Position	:	OWNER
Name	:	DALTON PAGANO
Credential	:
Telephone Number	:	352-255-3931

Provider Enumeration Date	:	10/29/2025
Last Update Date	:	01/20/2026

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