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BLAIR MEDICAL ASSOCIATES - TYRONE
NPI 1235270059
Non-Pharmacy Dispensing Site in Tyrone, PA

Active since February 12, 2007CLIA 39D0184801 · Waiver
1400 PENNSYLVANIA AVE, TYRONE, PA 16686(814) 684-2100 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Blair Medical Associates - Tyrone NPPES

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

BLAIR MEDICAL ASSOCIATES - TYRONE (NPI 1235270059) is a healthcare organization registered as a non-pharmacy dispensing site in Tyrone, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Kenny Heine, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1235270059
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBLAIR MEDICAL ASSOCIATES - TYRONE
Location Address1400 PENNSYLVANIA AVETyrone, PA 16686-1728
Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990
Phone(814) 684-2100
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineDirector Of Operations · (858) 625-2990
Enumeration DateFebruary 12, 2007
Last NPPES UpdateOctober 16, 2012
✔ NPI 1235270059 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 · OS006227L
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.)
1400 PENNSYLVANIA AVE, Tyrone, PA 16686
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

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 39D0184801

Blair Medical Associates - Tyrone · Tyrone, PA
Active · expires Jan 27, 2028
CLIA Number39D0184801
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorDr. Janelle L. Brumbaugh
Laboratory Phone(814) 684-2100
Laboratory LocationBlair Medical Associates - Tyrone1400 Pennsylvania Avenue, Tyrone, PA 16686
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 4

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

KELLIE A SMITH PA-C
Physician Assistant
1400 PENNSYLVANIA AVE
TYRONE, PA 16686
Blair County (814) 684-2100
BLAIR MEDICAL ASSOCIATES
Family Medicine
1400 PENNSYLVANIA AVE
TYRONE, PA 16686
Blair County (814) 684-2100
DR. RYAN ANTHONY LANI M.D.
Family Medicine
1400 PENNSYLVANIA AVE
TYRONE, PA 16686
Blair County (814) 684-2100
AMANDA KUNSMAN
Physician Assistant
1400 PENNSYLVANIA AVE
TYRONE, PA 16686
Blair County (814) 684-2100

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 Blair Medical Associates - Tyrone's NPI number?

The NPI number for Blair Medical Associates - Tyrone is 1235270059. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Blair Medical Associates - Tyrone located?

Blair Medical Associates - Tyrone is located at 1400 Pennsylvania Ave, Tyrone, PA 16686. The listed phone number is (814) 684-2100.

What is Blair Medical Associates - Tyrone's specialty?

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

Does Blair Medical Associates - Tyrone hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0184801) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Blair Medical Associates - Tyrone accept?

Health plans from Sanford Health Plan list Blair Medical Associates - Tyrone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Blair Medical Associates - Tyrone was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.