MEDICARE: LABORATORY MEDICINE ASSOCIATION

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	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician		PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427037134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABORATORY MEDICINE ASSOCIATION

Provider Business Mailing Address
First Line	:	2 MERIDIAN BLVD
Second Line	:	2ND FLOOR
City	:	WYOMISSING
State	:	PA
Zip	:	19610-3202
Country	:	US
Telephone Number	:	610-372-4957
Fax Number	:	610-372-3735

Provider Business Practice Location Address
First Line	:	211 N 12TH ST
Second Line	:
City	:	LEHIGHTON
State	:	PA
Zip	:	18235-1138
Country	:	US
Telephone Number	:	866-297-2320
Fax Number	:	610-372-3735

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KALMEN A FEINBERG
Credential	:	MD
Telephone Number	:	570-387-2119

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	07/13/2009

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