MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
NPI 1972856151
Clinical Medical Laboratory in Elizabethtown, PA

Active since October 25, 2012
581 FREEMASON DR, ELIZABETHTOWN, PA 17022(717) 367-1121(717) 367-5813 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Masonic Villages Of The Grand Lodge Of Pennsylvania NPPES

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

MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA (NPI 1972856151) is a healthcare organization registered as a clinical medical laboratory in Elizabethtown, Pennsylvania and active in the NPI registry since October 2012. The organization lists Pamela Formica, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1972856151
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameMASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Location Address581 FREEMASON DRElizabethtown, PA 17022-3187
Mailing Address1 Masonic DrElizabethtown, PA 17022-2199 · (717) 367-1121 · Fax (717) 367-5813
Fax(717) 367-5813
Organization SubpartNo
Authorized OfficialPamela FormicaChief Financial Officer · (717) 367-1121
Enumeration DateOctober 25, 2012
Last NPPES UpdateMay 1, 2023
NPPES CertifiedMay 1, 2023
NPI 1972856151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in PA · 000634A
Definition
(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.
581 FREEMASON DR, Elizabethtown, PA 17022

Other Identifiers 2

Other220002197Railroad Pin
Other39D0657302PA · Clia

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.

Skilled Nursing Facility
581 FREEMASON DR
ELIZABETHTOWN, PA 17022
Day Training, Developmentally Disabled Services
581 FREEMASON DR
ELIZABETHTOWN, PA 17022
Hospice, Inpatient
581 FREEMASON DR
ELIZABETHTOWN, PA 17022

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 Masonic Villages Of The Grand Lodge Of Pennsylvania's NPI number?

The NPI number for Masonic Villages Of The Grand Lodge Of Pennsylvania is 1972856151. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Masonic Villages Of The Grand Lodge Of Pennsylvania located?

Masonic Villages Of The Grand Lodge Of Pennsylvania is located at 581 Freemason Dr, Elizabethtown, PA 17022. The listed phone number is (717) 367-1121.

What is Masonic Villages Of The Grand Lodge Of Pennsylvania's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Masonic Villages Of The Grand Lodge Of Pennsylvania was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.