Provider Demographics
NPI:1548280852
Name:HEALTH NETWORK LABORATORIES, LLC
Entity type:Organization
Organization Name:HEALTH NETWORK LABORATORIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:KARL
Authorized Official - Last Name:TILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-425-8157
Mailing Address - Street 1:794 ROBLE RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-9110
Mailing Address - Country:US
Mailing Address - Phone:877-402-4221
Mailing Address - Fax:484-425-8151
Practice Address - Street 1:794 ROBLE RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-9110
Practice Address - Country:US
Practice Address - Phone:877-402-4221
Practice Address - Fax:484-425-8151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-20
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA024655291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01728784Medicaid
PA02288500OtherCAPITAL BLUE CROSS
PA317438OtherHIGHMARK BLUE SHIELD
PA01728784Medicaid
PA690008204Medicare ID - Type UnspecifiedRAILROAD MEDICARE
NJ086531Medicare ID - Type UnspecifiedEMPIRE MEDICARE NJ