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CITYLIFE-PA, PC
NPI 1285010801
General Practice in Philadelphia, PA

Active since August 05, 2015CLIA 39D2143358 · Waiver
3945 CHESTNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19104(267) 819-1800 Get Directions Write a Review

NPPES record last updated: August 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Citylife-pa, Pc NPPES

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

CITYLIFE-PA, PC (NPI 1285010801) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through January 28, 2028 and lists William Bradley Rouse, Evp, as its authorized official.

NPPES Registry Identity

NPI1285010801
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCITYLIFE-PA, PC
Location Address3945 CHESTNUT ST, 2ND FLOORPhiladelphia, PA 19104-3621
Mailing Address2020 21st Ave S, Suite 202Nashville, TN 37212-4354 · (615) 708-4487
Phone(267) 819-1800
Organization SubpartNo
Authorized OfficialWilliam Bradley RouseEvp · (615) 708-4487
Enumeration DateAugust 5, 2015
✔ NPI 1285010801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3945 CHESTNUT ST, Philadelphia, PA 19104
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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 39D2143358

Citylife-Pa, PC · Philadelphia, PA
Active · expires Jan 28, 2028
CLIA Number39D2143358
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2026
Certificate Expiration DateJanuary 28, 2028
Laboratory DirectorDr. Joy M. Hamilton
Laboratory Phone(267) 819-1800
Laboratory LocationCitylife-Pa, PC6232 Market Street, Philadelphia, PA 19139
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 3

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

RYAN DOMINIC MENEZES DMD
Dentist (General Practice)
3945 CHESTNUT ST, APT 907
PHILADELPHIA, PA 19104
Philadelphia County (312) 404-1754
JAIME BROWN RN
Registered Nurse
3945 CHESTNUT ST
PHILADELPHIA, PA 19104
Philadelphia County (267) 819-1800
AMPERSAND HEALTH-PA, LLC
Clinic/Center (Primary Care)
3945 CHESTNUT ST, SECOND FLOOR
PHILADELPHIA, PA 19104
Philadelphia County (615) 708-4487

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 Citylife-Pa, PC's NPI number?

The NPI number for Citylife-Pa, PC is 1285010801. It was assigned to this organization in the NPPES registry on August 5, 2015.

Where is Citylife-Pa, PC located?

Citylife-Pa, PC is located at 3945 Chestnut St 2nd Floor, Philadelphia, PA 19104. The listed phone number is (267) 819-1800.

What is Citylife-Pa, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Citylife-Pa, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2143358) is associated with this NPI, valid through January 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Citylife-Pa, PC was last updated on August 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.