ENZO CLINICAL LABS, INC. (NPI# 1568008118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568008118 |
| Entity Type | Organization |
| Organization Name | ENZO CLINICAL LABS, INC. |
| Practice Address |
4 Corporate Dr Ste 283 Shelton CT 06484-6211 |
| Mailing Address |
60 Executive Blvd Farmingdale NY 11735-4710 |
| Practice Telephone | 2035138587 |
| Mailing Telephone | 6317555500 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2020-03-09 |
| Authorized Official Name | ANN MARIE WAGNER (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 6317153266 |
| Is Organization Subpart | Y |
| Parent Organization Name | ENZO BIOCHEM INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 60 Executive Blvd, Farmingdale, NY 117354710 | 6317555500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235234402 | Enzo Clinical Labs, Inc. | Clinical Medical Laboratory | 60 Executive Blvd, Farmingdale, NY 11735-4710 | 2006-09-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ENZO CLINICAL LABS, INC. | 28 Liberty Street, New York, Ny 10005 |
| Connecticut Business Registrations | ENZO CLINICAL LABS, INC. | 60 Executive Boulevard, Farmingdale, NY 11735 |
| Street Address |
4 CORPORATE DR STE 283 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-6211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| 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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|---|---|---|---|---|
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| 1932239431 | Graham-massey Analytical Labs, Inc. | Clinical Medical Laboratory | 60 Todd Rd, Shelton, CT 06484-5342 | 2007-03-06 |
| 1740209394 | Quest Diagnostics Clinical Lab Inc. | Clinical Medical Laboratory | 939 Mountain View Dr, Ste 110, Shelton, WA 98584-4411 | 2006-07-18 |
| 1962480608 | Dianon Systems, Inc | Clinical Medical Laboratory | 1 Forest Pkwy, Shelton, CT 06484-6147 | 2006-01-04 |
| 1194797993 | Ameripath New York LLC | Clinical Medical Laboratory | 1 Greenwich Pl, Shelton, CT 06484-4618 | 2006-02-06 |
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| 1720626328 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2 1/2 Dearfield Dr # 1, Greenwich, CT 06831-5335 | 2019-12-13 |
| 1639713225 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2284 Berlin Turnpike, Newington, CT 06111-3202 | 2019-11-06 |
| 1174179972 | Dna Med Tuning | Clinical Medical Laboratory | 10 Jefferson St Unit C3, Hartford, CT 06106-2515 | 2019-08-16 |
| 1972163913 | New England Labs LLC | Clinical Medical Laboratory | 446 Main St Ste B, Monroe, CT 06468-1114 | 2019-06-20 |
| 1477060275 | Aurora Labs LLC | Clinical Medical Laboratory | 470 West Ave Ste 2005, Stamford, CT 06902-6359 | 2018-01-03 |
| 1235677659 | Coopergenomics,inc | Clinical Medical Laboratory | 75 Corporate Dr, Trumbull, CT 06611-1350 | 2017-02-06 |
| 1811441751 | Atlantic Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 20 Quirk Rd, Milford, CT 06460-3745 | 2016-08-09 |
| 1366812703 | Joseph Kullberg | Clinical Medical Laboratory | 12 Coachlight Cir, Prospect, CT 06712-1564 | 2015-09-28 |
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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.