PEDIATRIC ASSOCIATES OF PAOLI
NPI 1083683742
Pediatrics in Paoli, PA

Active since March 15, 2006CLIA 39D0202832 · Waiver
17 INDUSTRIAL BLVD, SUITE 204, PAOLI, PA 19301(610) 647-1484(610) 647-7068 Get Directions Write a Review

NPPES record last updated: November 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatric Associates Of Paoli NPPES

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

PEDIATRIC ASSOCIATES OF PAOLI (NPI 1083683742) is a healthcare organization registered as a pediatrics in Paoli, Pennsylvania and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through October 7, 2027 and lists Terry Kienzle, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083683742
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC ASSOCIATES OF PAOLI, PC
Location Address17 INDUSTRIAL BLVD, SUITE 204Paoli, PA 19301-1607
Mailing Address17 Industrial Blvd, Suite 204Paoli, PA 19301-1607 · (610) 647-1484 · Fax (610) 647-7068
Fax(610) 647-7068
Organization SubpartNo
Authorized OfficialTerry KienzleOffice Manager · (610) 647-1484
Enumeration DateMarch 15, 2006
Last NPPES UpdateNovember 20, 2007
NPI 1083683742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

17 INDUSTRIAL BLVD, Paoli, PA 19301

Other Names 1

Doing Business AsPediatric Associates Of Paoli

Other Identifiers 1

Other897325PA · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 39D0202832

Pediatric Associates Of Paoli · Paoli, PA
Active · expires Oct 7, 2027
CLIA Number39D0202832
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDr. Rand Kienzle
Laboratory Phone(610) 647-1484
Laboratory LocationPediatric Associates Of Paoli11 Industrial Blvd Suite 201, Paoli, PA 19301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Pediatrics
17 INDUSTRIAL BLVD, SUITE 204
PAOLI, PA 19301
Specialist
17 INDUSTRIAL BLVD, 102
PAOLI, PA 19301
Specialist
17 INDUSTRIAL BLVD, 102
PAOLI, PA 19301
Otolaryngology (Facial Plastic Surgery)
17 INDUSTRIAL BLVD, SUITE 102
PAOLI, PA 19301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Associates Of Paoli, PC's NPI number?

The NPI number for Pediatric Associates Of Paoli, PC is 1083683742. It was assigned to this organization in the NPPES registry on March 15, 2006. The provider is doing business as Pediatric Associates Of Paoli.

Where is Pediatric Associates Of Paoli, PC located?

Pediatric Associates Of Paoli, PC is located at 17 Industrial Blvd Suite 204, Paoli, PA 19301. The listed phone number is (610) 647-1484.

What is Pediatric Associates Of Paoli, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Associates Of Paoli, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0202832) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Associates Of Paoli, PC was last updated on November 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.