MONTGOMERY MEDICAL, INC.
NPI 1821336868
Clinic/Center in Smithfield, PA
- Organization
- Clinic/Center
- CLIA Number: 39D2057182
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-10-2027
About MONTGOMERY MEDICAL, INC.
This page provides the complete NPI Profile along with additional information for Montgomery Medical, Inc., a provider established in Smithfield, Pennsylvania operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1821336868 assigned on January 2013. The practitioner's primary taxonomy code is 261Q00000X with license number 072269 L (PA). 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 Marcy Goisse M.d. (President)
- NPI
- 1821336868 Verify this NPI
- Provider Name
- MONTGOMERY MEDICAL, INC.
- Entity Type
- Organization
- Location Address
- 105 LAUREL VIEW DR SMITHFIELD, PA 15478
- Location Phone
- (724) 569-8100
- Mailing Address
- 100 RIDGEVIEW DR UNIT 3 SMITHFIELD, PA 15478
- Mailing Phone
- (724) 569-8100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-25-2013
- Last Update Date
- 12-18-2023
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 072269 L
- License State
- PA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2057182
- Facility Type
- Physician Office
- Certificate Effective Date
- March 11, 2025
- Certificate Expiration Date
- March 10, 2027
- Laboratory Director
- DR. MARCY J. GOISSE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Montgomery Medical, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821336868, enumerated as an "organization" on January 25, 2013.
The provider is located at 105 LAUREL VIEW DR SMITHFIELD, PA 15478 and the phone number is (724) 569-8100.
Clinic/Center with taxonomy code 261Q00000X.
