METHODIST HOSPITAL
NPI 1174667232
Clinic/Center - Ambulatory Surgical in Philadelphia, PA

Active since February 20, 2007CLIA Certified · 2 labs
2301 S BROAD ST, PHILADELPHIA, PA 19148(215) 955-7106(215) 955-8732 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Methodist Hospital NPPES

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

METHODIST HOSPITAL (NPI 1174667232) is a healthcare organization registered as an ambulatory surgical in Philadelphia, Pennsylvania and active in the NPI registry since February 2007. The organization holds 2 active CLIA laboratory certificates and lists Neil Lubarsky, Senior Vice President For Finance, as its authorized official.

NPPES Registry Identity

NPI1174667232
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMETHODIST HOSPITAL
Location Address2301 S BROAD STPhiladelphia, PA 19148-3542
Mailing Address2301 S Broad StPhiladelphia, PA 19148-3542 · (215) 955-7106 · Fax (215) 955-8732
Fax(215) 955-8732
Organization SubpartNo
Authorized OfficialNeil LubarskySenior Vice President For Finance · (215) 955-9895
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1174667232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in PA · 200801
2301 S BROAD ST, Philadelphia, PA 19148

Other Identifiers 1

Medicaid1007571300055PA

CLIA Laboratory Certificates CMS CLIA 2

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 39D1039462

Methodist Hospital Division Tjuh Inc · Philadelphia, PA
Active · expires May 31, 2028
CLIA Number39D1039462
Laboratory TypeHospital
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorDr. Susan A. Inniss
Laboratory Phone(215) 952-9989
Laboratory LocationMethodist Hospital Division Tjuh Inc2301 S Broad St, Philadelphia, PA 19148
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2158390

Methodist Hospital Wound And Vascular Center · Philadelphia, PA
Active · expires Nov 27, 2026
CLIA Number39D2158390
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorDr. Susan A. Inniss
Laboratory Phone(215) 503-2087
Laboratory LocationMethodist Hospital Wound And Vascular Center1300 Wolf Street, 1st Floor, Philadelphia, PA 19148
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.

Hospitalist
2301 S BROAD ST
PHILADELPHIA, PA 19148
Pathology (Clinical Pathology/Laboratory Medicine)
2301 S BROAD ST
PHILADELPHIA, PA 19148
Pharmacy (Institutional Pharmacy)
2301 S BROAD ST
PHILADELPHIA, PA 19148
Physician Assistant
2301 S BROAD ST, SUITE 205
PHILADELPHIA, PA 19148
Surgery
2301 S BROAD ST, SUITE 201
PHILADELPHIA, PA 19148
Family Medicine
2301 S BROAD ST
PHILADELPHIA, PA 19148
Anesthesiology
2301 S BROAD ST
PHILADELPHIA, PA 19148
Nurse Anesthetist, Certified Registered
2301 S BROAD ST
PHILADELPHIA, PA 19148

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 Methodist Hospital's NPI number?

The NPI number for Methodist Hospital is 1174667232. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is Methodist Hospital located?

Methodist Hospital is located at 2301 S Broad St, Philadelphia, PA 19148. The listed phone number is (215) 955-7106.

What is Methodist Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Methodist Hospital hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Methodist Hospital was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.