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PRIME MEDICAL GROUP - ROSTRAVER
NPI 1093036154
Non-Pharmacy Dispensing Site in Belle Vernon, PA

Active since June 11, 2010CLIA 39D0951121 · Waiver
1645 ROSTRAVER RD, BELLE VERNON, PA 15012(724) 929-2260 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Medical Group - Rostraver NPPES

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

PRIME MEDICAL GROUP - ROSTRAVER (NPI 1093036154) is a healthcare organization registered as a non-pharmacy dispensing site in Belle Vernon, Pennsylvania and active in the NPI registry since June 2010. The organization holds a CLIA Waiver certificate valid through September 13, 2026 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1093036154
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NamePRIME MEDICAL GROUP PC
Location Address1645 ROSTRAVER RDBelle Vernon, PA 15012-9655
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705
Phone(724) 929-2260
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990
Enumeration DateJune 11, 2010
Last NPPES UpdateDecember 16, 2013
✔ NPI 1093036154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in PA · MD063217L
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
1645 ROSTRAVER RD, Belle Vernon, PA 15012
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Other Names 1

Doing Business AsPrime Medical Group - Rostraver

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 39D0951121

Prime Medical Group · Belle Vernon, PA
Active · expires Sep 13, 2026
CLIA Number39D0951121
Laboratory TypePhysician Office
Certificate Effective DateSeptember 14, 2024
Certificate Expiration DateSeptember 13, 2026
Laboratory DirectorDr. Darpan Sohni
Laboratory Phone(724) 929-2260
Laboratory LocationPrime Medical Group1645 Rostraver Road, Suite 202, Belle Vernon, PA 15012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MS. KIMBERLY EVANS BEHANA MSN, CRNP, NP-C
Nurse Practitioner
1645 ROSTRAVER RD
BELLE VERNON, PA 15012
Fayette County (724) 929-2260
MARY LEE LONG MSN,CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1645 ROSTRAVER RD
BELLE VERNON, PA 15012
Fayette County (724) 243-0950
PRIME MEDICAL GROUP
Internal Medicine
1645 ROSTRAVER RD
BELLE VERNON, PA 15012
Fayette County (724) 929-2260
MRS. TRACY LYNN O'BOSKY M.S., LPC, CAADC
Counselor
1645 ROSTRAVER RD
BELLE VERNON, PA 15012
Fayette County (724) 350-6915
PRIME MEDICAL GROUP PCG1
Internal Medicine (Cardiovascular Disease)
1645 ROSTRAVER RD, SUITE 505
BELLE VERNON, PA 15012
Fayette County (724) 929-4930
PRIME MEDICAL GROUP PCG1
Internal Medicine
1645 ROSTRAVER RD, SUITE 202
BELLE VERNON, PA 15012
Fayette County (724) 929-2260
DR. RICHARD LONG MD
Internal Medicine
1645 ROSTRAVER RD
BELLE VERNON, PA 15012
Fayette County (724) 929-2640
PRIME MEDICAL GROUP PC
Internal Medicine
1645 ROSTRAVER RD, SUITE 505
BELLE VERNON, PA 15012
Fayette County (724) 929-2640

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 Prime Medical Group PC's NPI number?

The NPI number for Prime Medical Group PC is 1093036154. It was assigned to this organization in the NPPES registry on June 11, 2010. The provider is doing business as Prime Medical Group - Rostraver.

Where is Prime Medical Group PC located?

Prime Medical Group PC is located at 1645 Rostraver Rd, Belle Vernon, PA 15012. The listed phone number is (724) 929-2260.

What is Prime Medical Group PC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Prime Medical Group PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0951121) is associated with this NPI, valid through September 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prime Medical Group PC was last updated on December 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.