Organization
PRESQUE ISLE ORTHOPEDIC LABORATORY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN SABEL (CEO)
(814) 838-0099
Entity
Organization
Contact information
Practice address
2440 W 8TH ST, ERIE, PA 16505-4428
(814) 838-2349
(814) 835-8042
Mailing address
2440 W 8TH ST, ERIE, PA 16505-4428
(814) 838-2349
(814) 835-8042
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000283567
HIGHMARK BLUE SHIELD
PA
05
—
0008863300003
—
PA
05
—
02731175
—
NY
05
—
0715891
—
OH
01
—
1011839
GATEWAY HEALTHPLAN
PA
01
—
221020
HEALTH AMERICA/HEALTH ASS
—
01
—
69236
UNISON HEALTH PLAN
PA
Enumeration date
11/03/2006
Last updated
05/12/2026
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