P4 CLINICAL LLC (NPI# 1447760814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447760814 |
| Entity Type | Organization |
| Organization Name | P4 CLINICAL LLC |
| Practice Address |
25 Riverside Dr Pine Brook NJ 07058 |
| Mailing Address |
8000 Virginia Manor Rd Ste 170 Beltsville MD 20705-4230 |
| Practice Telephone | 9735758484 |
| Mailing Telephone | 3017153805 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | MR. SATHISH KOTHANDARAM (PRESIDENT & CEO) |
| Authorized Official Telephone | 3017153805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0003775 | NJ | Allopathic & Osteopathic Physicians |
| Y | 291U00000X | Clinical Medical Laboratory | 0003775 | NJ | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | P4 Clinical LLC | 21516 New Hampshire Ave, Brookeville, MD 20833 |
| New York State Corporations | P4 CLINICAL LLC | 1967 Wehrle Dr. Ste 1 #086, Buffalo, Ny 14221 |
| Street Address |
25 RIVERSIDE DR |
| City | PINE BROOK |
| State | NJ |
| Zip Code | 07058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681953 | Manhattan Physicians Laboratories LLC | Clinical Medical Laboratory | 25 Riverside Dr, Pine Brook, NJ 07058-9391 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740746296 | Stephanie Dorime | Pharmacist | 19 Chapin Road, Building D, Ste D7, Pine Brook, NJ 07058 | 2019-02-20 |
| 1083182018 | Lisa Sebro | Social Worker | 3226 Rachel Ter, Pine Brook, NJ 07058 | 2018-11-07 |
| 1245747187 | Angelsense Inc. | Emergency Response System Companies | 30 Chapin Rd Ste 1201, Pine Brook, NJ 07058 | 2018-01-01 |
| 1174042220 | 121 Learning Works, LLC | Day Training, Developmentally Disabled Services | 300 Changebridge Road, Suite 101, Pine Brook, NJ 07058 | 2017-09-10 |
| 1669558896 | Thomas William Sudol | Dentist | 272 Change Bridge Road, Pine Brook, NJ 07058 | 2006-10-31 |
| 1477521771 | Arcadian Healthcare Inc | Durable Medical Equipment & Medical Supplies | 45 Us Highway 46 East, Unit 606, Pine Brook, NJ 07058 | 2006-03-10 |
| 1043532682 | Nancy A Bayda | Pharmacist | 45 Route 46 East, Suite 609, Pine Brook, NJ 07058 | 2010-02-24 |
| 1194091405 | Michelle J Evans | Speech-Language Pathologist | 1700 Rachel Ter Apt 14, Pine Brook, NJ 07058-9305 | 2012-03-30 |
| 1851888465 | Sophie Pierre-louis | Speech-Language Pathologist | 2100 Rachel Ter Apt 15, Pine Brook, NJ 07058-9329 | 2018-04-18 |
| 1912298183 | Lauren Reiser | Speech-Language Pathologist | 3900 Rachel Ter, Apt 16, Pine Brook, NJ 07058-9358 | 2011-04-22 |
| Find all providers in zip 07058 | ||||
| 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 |
|---|---|---|---|---|
| 1982681953 | Manhattan Physicians Laboratories LLC | Clinical Medical Laboratory | 25 Riverside Dr, Pine Brook, NJ 07058-9391 | 2005-12-29 |
| 1891909941 | Siparadigm LLC | Clinical Medical Laboratory | 25 Riverside Dr Ste 2, Pine Brook, NJ 07058-9391 | 2007-05-09 |
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|---|---|---|---|---|
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| 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 |
| Find all providers with the same taxonomy | ||||
| City | PINE BROOK |
| Zip Code | 07058 |
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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.