LACKAWANNA MEDICAL GROUP PC
NPI 1770650962
Internal Medicine in Scranton, PA
About Lackawanna Medical Group Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LACKAWANNA MEDICAL GROUP PC (NPI 1770650962) is a healthcare organization registered as an internal medicine in Scranton, Pennsylvania and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Charles Thomas Grad, Business Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 8
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Identifiers 3
Group Practice 1
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 39D0927570
Lackawanna Medical Group PC · Scranton, PAOther Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lackawanna Medical Group PC's NPI number?
The NPI number for Lackawanna Medical Group PC is 1770650962. It was assigned to this organization in the NPPES registry on November 30, 2006.
Where is Lackawanna Medical Group PC located?
Lackawanna Medical Group PC is located at 201 Smallacombe Dr, Scranton, PA 18508. The listed phone number is (570) 961-0171.
What is Lackawanna Medical Group PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Does Lackawanna Medical Group PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D0927570) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lackawanna Medical Group PC was last updated on March 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.
