ADVANCED LABORATORIES, LLC (NPI# 1639425903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639425903 |
| Entity Type | Organization |
| Organization Name | ADVANCED LABORATORIES, LLC |
| Practice Address |
199 Stratton Rd Rutland VT 05701-4890 |
| Practice Telephone | 8027757798 |
| Practice Fax Number | 8027757762 |
| Mailing Telephone | 8027757798 |
| Mailing Fax Number | 8027757762 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Authorized Official Name | MARK LOGAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8027757798 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 47D2042960 | VT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | CLIA | 47D2042960 | 01 |
| Street Address |
199 STRATTON RD |
| City | RUTLAND |
| State | VT |
| Zip Code | 05701-4890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184679227 | Mark Edward Logan | Internal Medicine | 199 Stratton Rd, Rutland, VT 05701-4621 | 2006-05-24 |
| 1851712657 | Green Mountain Family Medicine | Nurse Practitioner | 199 Stratton Rd, Rutland, VT 05701-4890 | 2013-12-20 |
| 1497187447 | Cynthia G Seager | Counselor | 199 Stratton Rd, Rutland, VT 05701-4890 | 2013-08-01 |
| 1558703561 | Suzanne Daley | Counselor | 199 Stratton Rd, Rutland, VT 05701-4890 | 2013-07-19 |
| 1649536046 | Brooke Larmie | Nurse Practitioner | 199 Stratton Rd, Rutland, VT 05701-4890 | 2012-04-10 |
| 1003117078 | Mark E Logan Md PC | Internal Medicine | 199 Stratton Rd, Rutland, VT 05701-4621 | 2010-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639721186 | All Dimensions Primary Care Pllc | Physician Assistant | 92 Allen Street, Rutland, VT 05701 | 2019-07-15 |
| 1962809053 | Laura Kalinen Laprise | Nurse Practitioner | Rutland Community Health Center, 215 Stratton Road, Rutland, VT 05701 | 2014-12-04 |
| 1962818781 | Andrea Louise Welch | Pharmacist | 1 Rutland Shopping Plaza, Rutland, VT 05701 | 2014-07-02 |
| 1396158903 | Gwendolyn Koenig | Counselor | 78 South Main St., Rutland, VT 05701 | 2014-06-11 |
| 1194088195 | Marcie Bouchard | Early Intervention Provider Agency | 24a East Street, Rutland, VT 05701 | 2012-06-25 |
| 1790047009 | Pamela Lenoci | Massage Therapist | 196 Joshua Place, Rutland, VT 05701 | 2012-06-12 |
| 1528339959 | Deborah E. Boston | Social Worker | 128 Merchants Row Ste 510, Rutland, VT 05701 | 2012-01-17 |
| 1235431834 | Alicia Marie Riesterer | Occupational Therapy Assistant | 46 Nichols St., Rutland Healthcare and Rehabilitation Center, Rutland, VT 05701 | 2010-12-02 |
| 1497085401 | Lauren Ann Lasante | Counselor | 198 N Main St Ste C-5, Rutland, VT 05701 | 2010-01-14 |
| 1568692515 | Steven C. Duboff, Dmd, PC | Dentist | 198 North Main St, Rutland, VT 05701 | 2009-07-23 |
| Find all providers in zip 05701 | ||||
| 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 |
|---|---|---|---|---|
| 1568678803 | Vermont Physicians Clinic Laboratory | Clinical Medical Laboratory | 12 Commons St, Rutland, VT 05701-4651 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952841975 | Kaila Hanover | Clinical Medical Laboratory | 187 Saint Paul St Ste 3b-1, Burlington, VT 05401-4689 | 2017-02-24 |
| 1548703556 | Bla Partners, LLC | Clinical Medical Laboratory | 530 Community Dr, Suite 2, South Burlington, VT 05403-6834 | 2016-11-22 |
| 1831327170 | Dominion Diagnostics, LLC | Clinical Medical Laboratory | 1191 S Brownell Rd, Suite 30, Williston, VT 05495-7415 | 2009-06-25 |
| 1215151410 | State of Vermont | Clinical Medical Laboratory | Vermont Public Health Laboratory, 359 South Park Drive, Colchester, VT 05446 | 2007-04-12 |
| 1679551840 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 252 River St, Springfield, VT 05156-2306 | 2006-01-06 |
| 1760922660 | Phoenix Diagnostic Labs | Clinical Medical Laboratory | 187 Saint Paul St Ste 3b-1, Burlington, VT 05401-4689 | 2017-02-27 |
| 1740731769 | Burlington Labs Acquisition, LLC | Clinical Medical Laboratory | 199 Main St, Suite 226, Burlington, VT 05401-8309 | 2016-10-14 |
| 1447621461 | Mmhc | Clinical Medical Laboratory | 135 Lake St, Suite 1, Saint Albans, VT 05478-2249 | 2015-10-16 |
| 1346636461 | Burlington Labs, LLC | Clinical Medical Laboratory | 199 Main St, Suite 226, Burlington, VT 05401-8309 | 2015-04-15 |
| 1427458124 | Northeastern Reproductive Medicine Laboratories Pllc | Clinical Medical Laboratory | 105 Westview Rd, Suite 302, Colchester, VT 05446-8025 | 2014-08-29 |
| Find all providers with the same taxonomy | ||||
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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.