EMPIRE GENOMICS, LLC (NPI# 1265853519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265853519 |
| Entity Type | Organization |
| Organization Name | EMPIRE GENOMICS, LLC |
| Practice Address |
700 Michigan Ave Suite 200 Buffalo NY 14203-1536 |
| Practice Telephone | 7168563873 |
| Practice Fax Number | 7168563857 |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | MR. ANTHONY JOHNSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 7168563873 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | LAP72132 | NY | Laboratories |
| Street Address |
700 MICHIGAN AVE SUITE 200 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626117 | Andrew M Dybalski | Physician Assistant | 700 Michigan Ave, Buffalo, NY 14203-1514 | 2005-11-17 |
| 1134778129 | Owen Thomas Burke | Occupational Therapist | 700 Michigan Ave, Buffalo, NY 14203-1536 | 2019-09-11 |
| 1932513991 | Neal Siejka | Physician Assistant | 700 Michigan Ave, Suite 210, Buffalo, NY 14203-1536 | 2014-06-18 |
| 1114351962 | Michael A Pell, Md PC | Specialist | 700 Michigan Ave, Buffalo, NY 14203-1536 | 2013-08-29 |
| 1093147027 | Arrant Surgical | Specialist | 700 Michigan Ave, Buffalo, NY 14203-1536 | 2013-08-01 |
| 1245593318 | Delante Khalil Hodges | Physical Therapist | 700 Michigan Ave, Buffalo, NY 14203-1536 | 2012-06-22 |
| 1972872919 | Wny Medical Management, LLC | Clinic/Center | 700 Michigan Ave, Suite 120, Buffalo, NY 14203-1536 | 2011-12-20 |
| 1083926000 | Cassandra A Bender | Physician Assistant | 700 Michigan Ave, Buffalo, NY 14203-1536 | 2010-07-07 |
| 1073839486 | Wg Medical Pllc | Clinic/Center | 700 Michigan Ave, Suite 210, Buffalo, NY 14203-1536 | 2010-04-09 |
| 1558593509 | Christi Chacchia | Occupational Therapist | 700 Michigan Ave, Buffalo, NY 14203-1536 | 2009-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
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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. |
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| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
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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.