MED TECH CLINICAL LABORATORY,INC (NPI# 1255400065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255400065 |
| Entity Type | Organization |
| Organization Name | MED TECH CLINICAL LABORATORY,INC |
| Practice Address |
175 Cross Keys Rd Suite 203 Berlin NJ 08009-9263 |
| Mailing Address |
438 Ganttown Rd Suite B-8 Sewell NJ 08080-2341 |
| Practice Telephone | 8567680701 |
| Practice Fax Number | 8567680702 |
| Mailing Telephone | 8567680701 |
| Mailing Fax Number | 8567680702 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BIJAN YASHAYA (MANAGER) |
| Authorized Official Telephone | 8567680701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0000855 | NJ | Laboratories |
| Street Address |
175 CROSS KEYS RD SUITE 203 |
| City | BERLIN |
| State | NJ |
| Zip Code | 08009-9263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002765 | Michael A Hassman | Family Medicine | 175 Cross Keys Rd, 300a, Berlin, NJ 08009-9263 | 2005-06-09 |
| 1710423843 | Krista R Hill | Physician Assistant | 175 Cross Keys Rd, Suite 300b, Berlin, NJ 08009-9263 | 2017-01-12 |
| 1255787198 | Marlee Frankel | Physician Assistant | 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009-9263 | 2016-05-10 |
| 1336518778 | Russell Little | Nurse Practitioner | 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 | 2015-09-16 |
| 1194116525 | Kurudi LLC | Dentist | 175 Cross Keys Rd, Suite 103, Berlin, NJ 08009-9263 | 2015-02-06 |
| 1891199188 | Elissa Hassman | Ophthalmology | 175 Cross Keys Rd, Bldg. 300a, Berlin, NJ 08009-9263 | 2014-10-15 |
| 1053657668 | Chelsey A Mahon | Physician Assistant | 175 Cross Keys Rd, Building 300a, Berlin, NJ 08009-9263 | 2012-12-31 |
| 1861773731 | Melissa Wright | Counselor | 175 Cross Keys Rd, Suite B101, Berlin, NJ 08009-9263 | 2011-09-06 |
| 1164716775 | Robin Leigh Deiner | Counselor | 175 Cross Keys Rd, Suite B-101, Berlin, NJ 08009-9263 | 2011-06-01 |
| 1649562042 | Advocare, LLC | Internal Medicine | 175 Cross Keys Rd, Bldg. 300 A, Berlin, NJ 08009-9263 | 2011-05-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104365592 | Sean Gerard King | Physical Therapist | 115 Route 73 N, #80, Berlin, NJ 08009 | 2017-02-17 |
| 1407303472 | Phoebe Brady | Counselor | 116 Grove St., Berlin, NJ 08009 | 2016-09-07 |
| 1669929782 | Courtney Lynne Chambers | Nurse Practitioner | 16 Aristone Drive, Berlin, NJ 08009 | 2016-09-07 |
| 1346625423 | Amy Torpey | Social Worker | 128 Berlin Cross Keys Road, Berlin, NJ 08009 | 2015-07-30 |
| 1821479494 | Personalized Independent Living Opporuntities & Training Services | Day Training, Developmentally Disabled Services | 283 Jackson Road, Berlin, NJ 08009 | 2015-06-09 |
| 1821497520 | Joseph Cesarine | Emergency Medicine | 100 Townsend Aveniue, Berlin, NJ 08009 | 2014-08-19 |
| 1831443282 | Dedra Lombardi | Counselor | 16 Jason Drive, Berlin, NJ 08009 | 2012-11-07 |
| 1053620674 | Richard Nazer | Dentist | 339 North Route 73, Berlin, NJ 08009 | 2010-09-30 |
| 1134372329 | Caroline Rose Eisenberg | Dietitian, Registered | 127 Berlin Cross Keys Rd, Berlin, NJ 08009 | 2008-10-31 |
| 1720253743 | Terry L Fazio | Nurse Practitioner | 100 Townsend Rd, Bedin, NJ 08009 | 2008-04-30 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477816460 | Max-delbrueck-center for Molecular Medicine (mdc) | Clinical Medical Laboratory | Robert Roesslestrasse 10, Berlin, BERLIN 13125 | 2012-06-25 |
| 1114359635 | Androscoggin Valley Hospital, Inc | Clinical Medical Laboratory | 59 Page Hill Rd, Berlin, NH 03570-3531 | 2013-08-07 |
| 1932423753 | Atlantic General Hospital Corp | Clinical Medical Laboratory | 9733 Healthway Dr, Berlin, MD 21811-1155 | 2010-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938817 | Cairo Diagnostics Nj, LLC | Clinical Medical Laboratory | 50 Tice Blvd Ste 183, Woodcliff Lake, NJ 07677-7681 | 2020-10-07 |
| 1114524071 | Meadowlands Diagnostics, LLC | Clinical Medical Laboratory | 177 Valley Blvd Fl 2, Wood Ridge, NJ 07075-2011 | 2020-10-05 |
| 1174135073 | Accu Lab Services | Clinical Medical Laboratory | 108 S Munn Ave Ste 2, East Orange, NJ 07018-3402 | 2020-08-21 |
| 1205447992 | Sigmund Labs LLC | Clinical Medical Laboratory | 78 John Miller Way Ste 1001, Kearny, NJ 07032-6500 | 2020-08-14 |
| 1992315337 | Jayson Mobile Care Phlebotomist LLC | Clinical Medical Laboratory | 80 Corbin Ave, Jersey City, NJ 07306-6914 | 2020-07-31 |
| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1083236020 | Right Way Laboratory, LLC | Clinical Medical Laboratory | 750 Hamburg Turnpike, Pompton, NJ 07442 | 2020-05-13 |
| 1083234686 | Rutgers, The State University of New Jersey | Clinical Medical Laboratory | 604 Allison Rd, Piscataway, NJ 08854-8000 | 2020-04-23 |
| 1548896996 | Lab X Health LLC | Clinical Medical Laboratory | 4 Brighton Rd Ste 308, Clifton, NJ 07012-1665 | 2020-03-18 |
| 1881226579 | Clinical Laboratory of Nj LLC | Clinical Medical Laboratory | 88 Pompton Ave, Verona, NJ 07044-2944 | 2020-02-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.