LAKEVIEW UROLOGIC SURGEONS
Complete NPI Record 1053578468
Clinical Medical Laboratory in Erie, PA
Active since May 22, 2008CLIA Certified · 2 labs
Complete NPI Dataset
This page contains the complete raw NPPES record for Lakeview Urologic Surgeons (NPI 1053578468), a clinical medical laboratory organization in Erie, PA. All 34 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1053578468 Field 1/34
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/34
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/34
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: REGIONAL HEALTH SERVICES INC Field 4/34
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: LAKEVIEW UROLOGIC SURGEONS Field 5/34
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/34
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 717 STATE STREET Field 7/34
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: SUITE 16 LL Field 8/34
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: ERIE Field 9/34
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: PA Field 10/34
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 165011360 Field 11/34
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/34
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 8144807100 Field 13/34
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 8144807604 Field 14/34
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 300 STATE STREET Field 15/34
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Second Line Business Practice Location Address: SUITE 302 Field 16/34
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: ERIE Field 17/34
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PA Field 18/34
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 165071430 Field 19/34
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 20/34
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8148775700 Field 21/34
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 8148775655 Field 22/34
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: FIORENZO Field 25/34
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: V Field 26/34
- The first name of the authorized official.
- Authorized Official Middle Name: JAMES Field 27/34
- The middle name of the authorized official.
- Authorized Official Title or Position: PRESIDENT Field 28/34
- The title or position of the authorized official.
- Authorized Official Telephone Number: 8148776588 Field 29/34
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 291U00000X Field 30/34
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 31/34
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: Y Field 32/34
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: REGIONAL HEALTH SERVICES INC Field 33/34
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 34/34
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
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