{"npi":"1699794669","type":"NPI-2","status":"active","name":{"display":"Peterson Laboratory Services, PA","other":[],"organization_name":"PETERSON LABORATORY SERVICES, PA","authorised_official":"Stanley Werner"},"specialty":{"primary_taxonomy":"207ZP0102X","primary_taxonomy_description":"Anatomic & Clinical Pathology","slug":"pathology","schema_org_specialty":"Pathology","all":[{"code":"207ZP0102X","description":"Anatomic & Clinical Pathology","primary":true,"state":"KS","license":"17D0449919"}]},"addresses":[{"purpose":"LOCATION","street_1":"1133 COLLEGE AVE","city":"MANHATTAN","state":"KS","postal_code":"665022770","country_code":"US","phone":"7855395363","fax":"7855395862"},{"purpose":"MAILING","street_1":"1133 COLLEGE AVE","city":"MANHATTAN","state":"KS","postal_code":"665022770","country_code":"US","phone":"7855395363","fax":"7855395862"}],"license":{"state":"KS","number":"17D0449919"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100095750B","state":"KS","issuer":null},{"type_code":"01","label":"Other","value":"690077064","state":"KS","issuer":"RR MEDICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-19","last_updated":"2012-03-06","_meta":{"source":"NPPES","snapshot_date":"2012-03-06","doc_url":"https://findmynpi.com/api"}}