MAGNOLIA NETWORKS LLC
NPI 1053774422
Internal Medicine in Bridgeville, PA

Q: What is Magnolia Networks LLC's NPI number?

The NPI number for Magnolia Networks LLC is 1053774422. It was assigned to this organization in the NPPES registry on April 1, 2016.

Q: What is Magnolia Networks LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 01, 2016CLIA 39D2170145 · Waiver

316 STATION ST, SUITE 200, BRIDGEVILLE, PA 15017(412) 914-8484(412) 914-8179 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2016, Apr 1, 2016 (2 updates tracked since 2016).

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About Magnolia Networks Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAGNOLIA NETWORKS LLC (NPI 1053774422) is a healthcare organization registered as an internal medicine in Bridgeville, Pennsylvania and active in the NPI registry since April 2016. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Louis Hunter Farmer, Partner, as its authorized official.

NPPES Registry Identity

NPI1053774422

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMAGNOLIA NETWORKS LLC

Location Address316 STATION ST, SUITE 200Bridgeville, PA 15017-1833

Mailing Address316 Station St, Suite 200Bridgeville, PA 15017-1833 · (412) 914-8484 · Fax (412) 914-8179

Phone(412) 914-8484

Fax(412) 914-8179

Organization SubpartNo

Authorized OfficialLouis Hunter FarmerPartner · (412) 914-8484

Enumeration DateApril 1, 2016

Last NPPES UpdateSeptember 2, 20162 updates tracked since enumeration

✔ NPI 1053774422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

316 STATION ST, Bridgeville, PA 15017

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2170145

Magnolia Networks LLC · Bridgeville, PA

Active · expires Aug 4, 2027

CLIA Number39D2170145

Laboratory TypePhysician Office

Certificate Effective DateAugust 5, 2025

Certificate Expiration DateAugust 4, 2027

Laboratory DirectorDr. Scott A. Cook

Laboratory Phone(724) 387-2455

Laboratory LocationMagnolia Networks LLC451 Washington Ave, Bridgeville, PA 15017

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ENRICO J JOHNSON

Counselor (Addiction (Substance Use Disorder))