LEHIGH VALLEY TOXICOLOGY LLC
NPI 1265846695
Clinical Medical Laboratory in Bethlehem, PA
NPI Status: Active since June 13, 2014
Contact Information
2550 BRODHEAD RD STE 202
BETHLEHEM, PA
ZIP 18020
Phone: (267) 566-2075
Fax: (215) 253-4110
- Organization
- Clinical Medical Laboratory
- Accepts Insurance
About LEHIGH VALLEY TOXICOLOGY LLC
This page provides the complete NPI Profile along with additional information for Lehigh Valley Toxicology Llc, a provider established in Bethlehem, Pennsylvania operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1265846695 assigned on June 2014. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Ms. Lisa Jackson (President)
- NPI
- 1265846695
- Provider Name
- LEHIGH VALLEY TOXICOLOGY LLC
- Entity Type
- Organization
- Location Address
- 2550 BRODHEAD RD STE 202 BETHLEHEM, PA 18020
- Location Phone
- (267) 566-2075
- Location Fax
- (215) 253-4110
- Mailing Address
- 2550 BRODHEAD RD STE 202 BETHLEHEM, PA 18020
- Mailing Phone
- (267) 566-2075
- Mailing Fax
- (215) 253-4110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2014
- Last Update Date
- 05-15-2023
- Code Navigator
Establishments like Lehigh Valley Toxicology Llc are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Medical Laboratory
- Taxonomy Code
- 291U00000X
- Type
- Laboratories
- License State
- PA
- Taxonomy Description
- (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 291U00000X | Laboratories | Clinical Medical Laboratory |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - EPO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Bronze + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Saver 7000 - HMO
- Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
- Molina Bronze Saver 7000 Plus with Adult Vision - HMO
- Molina Bronze Smart Heart Health - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00549889 | MEDICAID (05) | NC | |
| 1695812 | MEDICAID (05) | AK | |
| L00722 | MEDICAID (05) | SC | |
| 003226322A | MEDICAID (05) | GA | |
| 201003690 | MEDICAID (05) | OK | |
| 2506790 | MEDICAID (05) | LA | |
| 300028759 | MEDICAID (05) | IN | |
| 0642894 | MEDICAID (05) | NJ | |
| 102980871 | MEDICAID (05) | PA | |
| 0193241 | MEDICAID (05) | OH | |
| 100094814 | MEDICAID (05) | WI | |
| 2150156 | MEDICAID (05) | WA | |
| 700019461 | MEDICAID (05) | MO | |
| 098233 | MEDICAID (05) | AZ | |
| 19120K5D | MEDICAID (05) | CA | |
| Q053862 | MEDICAID (05) | TN |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r
Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique
Detection test by nucleic acid for cytomegalovirus (cmv), amplified probe technique
Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique
Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique
Detection test by nucleic acid for multiple types influenza virus
Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets
Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique
Detection test by nucleic acid for organism, amplified probe technique
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique
Detection test by nucleic acid for strep (streptococcus, group a), quantification
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique
Detection test for candida species (yeast), amplified probe technique
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms
Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants
Gene analysis (adenomatous polyposis coli), full gene sequence
Gene analysis (bloom syndrome, recq helicase-like)
Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants
Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants
Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 9) common variants
Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants
Gene analysis (fanconi anemia, complementation group c) common variant
Gene analysis (glucosidase, beta, acid) common variants
Gene analysis (muts homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis
Gene analysis (muts homolog 6 [e coli]) full sequence analysis
Gene analysis (neurotrophic receptor tyrosine kinase 1, 2, and 3) translocation analysis
Gene analysis (neurotrophic receptor tyrosine kinase 2) translocation analysis
Gene analysis (noonan syndrome) genomic sequence analysis
Gene analysis (partner and localizer of brca2) full sequence analysis
Gene analysis (postmeiotic segregation increased 2 [s cerevisiae]) full sequence analysis
Gene analysis (solute carrier organic anion transporter family, member 1b1) for common variant
Genomic sequence analysis panel for severe inherited conditions with sequencing of 15 or more genes
Identification of organisms by genetic analysis, amplified probe technique
Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within
Molecular pathology procedure level 2
Molecular pathology procedure level 4
Molecular pathology procedure level 5
Molecular pathology procedure level 6 genetic analysis
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source
Test for detecting genes associated with inherited disease of heart muscle
Test for detecting genes for disorders related to ashkenazi jews, genomic sequence analysis panel, at least 9 genes
Testing for presence of drug, by chemistry analyzers
This service involves the testing for COVID-19 using advanced technologies that can process multiple samples at once. It identifies different types or subtypes of the virus, including SARS-CoV-2/2019-nCoV. This test is non-CDC but adheres to the guidelines outlined in CMS-2020-01-R.
This service was performed 1,996 times for 1,510 patientsThis test checks for the presence of Chlamydia pneumoniae, a bacterium that can cause respiratory infections. It uses an amplified probe technique, which magnifies the bacterium's genetic material for easier detection. It's a standard, non-invasive procedure.
This service was performed 188 times for 145 patientsA detection test by nucleic acid for cytomegalovirus (CMV) using an amplified probe technique is a lab procedure. It identifies the presence of CMV, a common virus, in your body. This technique amplifies the virus's genetic material, making it easier to detect.
This service was performed 170 times for 127 patientsThis test identifies the presence of an enterovirus, a type of virus that primarily targets the digestive system. It uses a method called the amplified probe technique to boost the detection of the virus's genetic material, or nucleic acid.
This service was performed 170 times for 127 patientsA detection test for Legionella Pneumophila, a waterborne bacteria, uses the amplified probe technique. This involves identifying the bacteria's unique genetic material (nucleic acid) and amplifying it for easier detection, aiding in accurate diagnosis.
This service was performed 177 times for 134 patientsA detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
This service was performed 235 times for 181 patientsThis test identifies different respiratory viruses by examining their nucleic acid, the building blocks of their genetic material. It can detect multiple types or subtypes, specifically 3-5 targets. This helps in diagnosing your respiratory illness accurately.
This service was performed 160 times for 116 patientsThis test checks for Mycoplasma pneumoniae, a bacteria that can cause lung infection. It uses a method called amplified probe technique, which identifies the bacteria's genetic material. This helps in diagnosing the infection accurately.
This service was performed 188 times for 145 patientsA nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
This service was performed 2,597 times for 168 patientsA detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.
This service was performed 170 times for 127 patientsA detection test by nucleic acid for MRSA bacteria uses an amplified probe technique. It's a lab procedure that identifies the presence of MRSA, a type of bacteria resistant to many antibiotics. This test helps in deciding the best treatment.
This service was performed 30 times for 27 patientsA detection test by nucleic acid for Group A Strep is a diagnostic procedure that identifies the presence and quantity of streptococcus bacteria in your body. This test uses a sample, usually a throat swab, to detect the bacteria's genetic material. It helps in diagnosing infections like strep throat.
This service was performed 25 times for 25 patientsThe detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.
This service was performed 30 times for 27 patientsThis test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
This service was performed 64 times for 28 patientsA definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
This service was performed 40 times for 33 patientsGene analysis for 5,10-methylenetetrahydrofolate reductase (MTHFR) common variants is a test that looks at your DNA to identify any changes in the MTHFR gene. These changes can affect how your body processes certain vitamins, which could impact your overall health.
This service was performed 172 times for 172 patientsGene analysis of the adenomatous polyposis coli (APC) involves studying the entire sequence of the APC gene. This test helps identify mutations that could lead to conditions like familial adenomatous polyposis. The procedure is non-invasive and uses a blood sample.
This service was performed 92 times for 92 patientsGene analysis for Bloom Syndrome involves studying the RECQ helicase-like gene. This gene is responsible for DNA repair. When it's not working properly, it can lead to Bloom Syndrome, a condition that increases the risk of developing various types of cancer.
This service was performed 100 times for 100 patientsGene analysis for breast cancer 1 and 2 involves studying your DNA to detect alterations that may increase your risk of developing certain health issues. This test analyzes the full sequence and checks for duplication or deletion variants.
This service was performed 27 times for 27 patientsGene analysis of cytochrome P450 2C19 common variants is a test that helps understand how your body processes certain medications. This can help your doctor tailor treatments specifically for you, improving their effectiveness and safety.
This service was performed 102 times for 102 patientsGene analysis for cytochrome P450 2C9 common variants is a test to identify specific genetic variations. These variations can affect how your body processes certain medications, helping to determine the most effective and safe drug dosage for you.
This service was performed 31 times for 31 patientsGene analysis of cytochrome P450 2D6 (CYP2D6) common variants involves studying specific genes to understand your body's ability to process certain medications. This can help tailor treatments to your unique genetic makeup, optimizing medication effectiveness and safety.
This service was performed 112 times for 112 patientsGene analysis for Fanconi Anemia, Complementation Group C, is a test that looks at your DNA to see if you have changes in a specific gene linked to this type of anemia. This can help determine if you have the condition or if you might pass it on to your children.
This service was performed 93 times for 93 patientsGene analysis of common variants in the beta-glucosidase acid enzyme helps understand certain health conditions. This enzyme plays a key role in the body's metabolism. By studying its variants, doctors can better diagnose and treat metabolic disorders.
This service was performed 11 times for 11 patientsGene analysis (MUTYH) full sequence analysis is a test that examines your DNA to identify any changes linked to nonpolyposis colon cancer type 1. This can help determine your risk of developing this type of cancer.
This service was performed 98 times for 98 patientsGene analysis, specifically MUTS Homolog 6 (E. coli) full sequence analysis, is a test that examines your DNA to identify changes in the MUTS Homolog 6 gene. This information helps doctors understand and manage potential health concerns.
This service was performed 98 times for 98 patientsGene analysis for neurotrophic receptor tyrosine kinase (NTRK) 1, 2, and 3 translocation is a test that checks for changes in your genes. These changes can impact how cells grow and divide, which can affect your health. It's a way to catch problems early.
This service was performed 22 times for 22 patientsGene analysis, specifically neurotrophic receptor tyrosine kinase 2 (NTRK2) translocation analysis, is a test that studies alterations in your genes. This analysis helps identify changes in the NTRK2 gene, which can sometimes be linked to certain health conditions. It's a vital part of personalized medicine.
This service was performed 30 times for 30 patientsGene analysis for Noonan Syndrome involves studying your DNA in detail. This helps identify any changes in specific genes associated with the syndrome. The process is non-invasive, involving a simple blood or saliva sample. The results can provide valuable information about your health.
This service was performed 27 times for 27 patientsGene analysis, specifically for the partner and localizer of BRCA2, involves examining your genetic code to identify any changes in this particular gene. This gene is significant in maintaining the health of your cells. The full sequence analysis means we look at every part of this gene to ensure it's working properly.
This service was performed 55 times for 54 patientsGene analysis, specifically postmeiotic segregation increased 2 (s cerevisiae) full sequence analysis, is a scientific procedure. It involves studying your entire genetic code to identify any changes or differences that could be related to certain health conditions. This is done in a lab, using a sample provided by you.
This service was performed 95 times for 95 patientsGene analysis for the solute carrier organic anion transporter family, member 1b1 (SLCO1B1), common variant, is a test that examines your DNA to identify variations in the SLCO1B1 gene. This gene plays a crucial role in the body's ability to process certain medications.
This service was performed 31 times for 31 patientsThis procedure involves analyzing your genetic material to identify specific mutations that could cause severe inherited conditions. It examines 15 or more genes. The information can help in diagnosis, treatment planning, and understanding your risk for certain diseases.
This service was performed 157 times for 157 patientsThis procedure involves identifying organisms like bacteria or viruses in your body. It's done by amplifying a small part of their genetic material, making it easier to detect. This technique helps in accurate diagnosis and appropriate treatment.
This service was performed 234 times for 26 patientsThis is a test to detect the COVID-19 virus. It uses a technique that amplifies the virus's genetic material (DNA or RNA) for detection. High throughput technologies are used for rapid and large-scale testing. The procedure is completed within a set time frame.
This service was performed 1,853 times for 1,505 patientsA Molecular Pathology Procedure Level 2 is a laboratory test used to study genes at a molecular level. This helps identify genetic variations or mutations that may be associated with certain diseases or conditions. This information assists in diagnosing and managing your healthcare.
This service was performed 38 times for 34 patientsA Molecular Pathology Procedure Level 4 is a sophisticated lab test that analyzes your DNA. It helps identify specific genetic changes that may be causing or increasing the risk of certain diseases. This understanding can aid in diagnosis, treatment, and prevention strategies.
This service was performed 48 times for 42 patientsA Molecular Pathology Procedure Level 5 is a complex lab test that studies genes and proteins at a molecular level. It helps identify genetic changes or infections that may cause or influence disease. This information is crucial for diagnosis and treatment planning.
This service was performed 62 times for 43 patientsA molecular pathology procedure level 6 genetic analysis is a complex lab test. It examines your DNA to identify specific genetic changes that can cause or increase the risk of disease. Understanding these changes can help in tailoring treatments.
This service was performed 57 times for 41 patientsSpecimen collection for SARS-CoV-2, the virus causing COVID-19, involves taking a sample from the nose or throat using a swab. This sample is then analyzed in a lab to detect the presence of the virus. It's a crucial step in diagnosing COVID-19.
This service was performed 1,454 times for 1,218 patientsThis test identifies genetic markers linked to inherited heart muscle conditions. It involves a simple blood or saliva sample. The lab analyzes your DNA for specific mutations. Results can help manage potential heart health risks.
This service was performed 28 times for 28 patientsThis test examines at least 9 genes to identify potential disorders associated with Ashkenazi Jewish heritage. By analyzing your genomic sequence, it can predict your risk for certain conditions, helping you make informed health decisions.
This service was performed 72 times for 72 patientsChemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
This service was performed 44 times for 37 patientsReviews for LEHIGH VALLEY TOXICOLOGY LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1265846695, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265846695, enumerated as an "organization" on June 13, 2014.
The provider is located at 2550 BRODHEAD RD STE 202 BETHLEHEM, PA 18020 and the phone number is (267) 566-2075.
Clinical Medical Laboratory with taxonomy code 291U00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.