ATLANTIC DIAGNOSTICS LLC


Address: 1642 W 9th St, Brooklyn, NY 11223-1247
Phone: 7185136060

ATLANTIC DIAGNOSTICS LLC (NPI# 1417355678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417355678
Entity Type Organization
Organization Name ATLANTIC DIAGNOSTICS LLC
Other Organization Name ATLANTIC DIAGNOSTICS LLC
Practice Address 1642 W 9th St
Brooklyn
NY 11223-1247
Mailing Address 49 Weed Ave
Staten Island, Ny
Fpo
AA 10306-4922
Practice Telephone 7185136060
Mailing Telephone 7185136060
Mailing Fax Number 3475548200
Enumeration Date 2014-12-19
Last Update Date 2014-12-19
Authorized Official Name INESSA SABLE (BILLING)
Authorized Official Telephone 7189966677
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 33D2069816 NY Laboratories

Other Provider/Organization Names

Other Name Type Code
ATLANTIC DIAGNOSTICS LLC Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1740620061 Atlantic Diagnostics LLC Clinic/Center 1755 N 13th St, Ste 217, Philadelphia, PA 19122-6011 2013-07-01
1730313537 Atlantic Diagnostics LLC Clinical Medical Laboratory 790 N Brea Blvd Ste 165, Brea, CA 92821-3334 2009-05-07

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations ATLANTIC DIAGNOSTICS LLC 1755 N. 13th Street, Ste. 217, Philadelphia, Pennsylvania 19122

Office Location

Street Address 1642 W 9TH ST
City BROOKLYN
State NY
Zip Code 11223-1247

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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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City BROOKLYN
Zip Code 11223

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Dataset Information

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.

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