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MEDICAL PROFESIONAL SERVICE, PC
NPI 1821136227
General Practice in Kingston, PA

Active since February 01, 2007CLIA 39D1003581 · Waiver
675 WYOMING AVE, KINGSTON, PA 18704(570) 288-4205 Get Directions Write a Review

NPPES record last updated: October 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medical Profesional Service, Pc NPPES

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

MEDICAL PROFESIONAL SERVICE, PC (NPI 1821136227) is a healthcare organization registered as a general practice in Kingston, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 3, 2026 and lists Philip James Mertz, Director Of Clinical Services, as its authorized official.

NPPES Registry Identity

NPI1821136227
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICAL PROFESIONAL SERVICE, PC
Location Address675 WYOMING AVEKingston, PA 18704-3831
Mailing Address675 Wyoming AveKingston, PA 18704-3831 · (570) 288-4205
Phone(570) 288-4205
Organization SubpartNo
Authorized OfficialPhilip James MertzDirector Of Clinical Services · (570) 288-4205
Enumeration DateFebruary 1, 2007
Last NPPES UpdateOctober 22, 2010
✔ NPI 1821136227 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
675 WYOMING AVE, Kingston, PA 18704
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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 39D1003581

Medical Professional Service PC · Kingston, PA
Active · expires Sep 3, 2026
CLIA Number39D1003581
Laboratory TypeOther
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorDr. Mark W. Scinico
Laboratory Phone(570) 288-4205
Laboratory LocationMedical Professional Service PC675 Wyoming Avenue, Kingston, PA 18704
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DR. STANLEY MICHAEL STANISH M.D.
General Practice
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
MR. SAMUEL R WALKER RD
Dietitian, Registered
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
DR. JOSEPH ANTHONY CAMPANELLA M.D.
General Practice
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
MR. CORY IAN SHAFER LPC
Counselor (Professional)
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 332-2093
SCOTT ALAN WEISENFLUH PA-C
Physician Assistant
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
STEFANIE MARIE SMITH MS, RD, LDN
Dietitian, Registered
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
MS. PAMELA LEA MACNEELY PA-C
Physician Assistant (Medical)
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205
MRS. LYNN ECKROTE PA-C
Physician Assistant (Medical)
675 WYOMING AVE
KINGSTON, PA 18704
Luzerne County (570) 288-4205

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 Medical Profesional Service, PC's NPI number?

The NPI number for Medical Profesional Service, PC is 1821136227. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Medical Profesional Service, PC located?

Medical Profesional Service, PC is located at 675 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 288-4205.

What is Medical Profesional Service, PC's specialty?

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

Does Medical Profesional Service, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1003581) is associated with this NPI, valid through September 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medical Profesional Service, PC was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.