OrganizationActive
Masonic Villages of the Grand Lodge of Pennsylvania
NPI 1972856151 · Clinical Medical Laboratory · Elizabethtown, PA
Provider details
- NPI number
- 1972856151
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Pamela Formica, Chief Financial Officer(717) 367-1121
- License
- 000634A (PA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
581 Freemason Dr
Elizabethtown, PA 17022-3187
Phone: (717) 367-1121
Fax: (717) 367-5813
Street-level locationGet directions
Mailing address
1 Masonic Dr
Elizabethtown, PA 17022-2199
Registry dates
- Enumerated
- 2012-10-25
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.