MEDICAL DIAGNOSTIC GROUP LAB (NPI# 1760693337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760693337 |
| Entity Type | Organization |
| Organization Name | MEDICAL DIAGNOSTIC GROUP LAB |
| Practice Address |
210 E Main St Middletown NY 10940-4038 |
| Practice Telephone | 8453425681 |
| Practice Fax Number | 8453420470 |
| Mailing Telephone | 8453425681 |
| Mailing Fax Number | 8453420470 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-05-22 |
| Authorized Official Name | DR. ELLIOTT T FRIEDMAN (LAB DIRECTOR) |
| Authorized Official Telephone | 8453425681 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CLIA33D0653745 | NY | Laboratories |
| Street Address |
210 E MAIN ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437614328 | Self Reflection Psychological Services, Pllc | Clinic/Center | 210 E Main St, Middletown, NY 10940-4038 | 2019-02-05 |
| 1508081290 | Edward W. Reich | Dentist | 210 E Main St, Middletown, NY 10940-4038 | 2007-04-16 |
| 1669513479 | Rosemary Regina Curwood | Social Worker | 210 E Main St, 2nd Floor, Middletown, NY 10940-4038 | 2007-02-12 |
| 1184712374 | Donald L. Magidson | Dentist | 210 E Main St, Middletown, NY 10940-4038 | 2006-10-11 |
| 1003861501 | Robert Lewis Douglas | Internal Medicine | 210 E Main St, Middletown, NY 10940-4038 | 2006-05-23 |
| 1932153921 | Medical Diagnostic Group,p.c. | Internal Medicine | 210 E Main St, Middletown, NY 10940-4038 | 2006-05-22 |
| 1144273863 | Laurie Ann Colman | Internal Medicine | 210 E Main St, Middletown, NY 10940-4038 | 2006-05-17 |
| 1568456895 | Charles Strober | Internal Medicine | 210 E Main St, Middletown, NY 10940-4038 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| 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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|---|---|---|---|---|
| 1790235273 | Dee's Mobile Lab Svcs | Clinical Medical Laboratory | 89 Kensington Way, Middletown, NY 10940-2133 | 2016-10-10 |
| 1053506345 | Compunet Clinical Laboratories, LLC | Clinical Medical Laboratory | 501 Atrium Dr, Middletown, OH 45005-5165 | 2007-09-10 |
| 1831236942 | The Milton S. Hershey Medical Center Physician Group | Clinical Medical Laboratory | 3100 Schoolhouse Rd, Middletown, PA 17057-3548 | 2007-01-30 |
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| 1346855483 | Rockefeller Fertility Laboratory Inc. | Clinical Medical Laboratory | 7 W 51st St Fl 5, New York, NY 10019-6905 | 2020-09-15 |
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| 1669095659 | Vonax Naturals Corp | Clinical Medical Laboratory | 13527 38th Ave Ste 120, Flushing, NY 11354-4471 | 2020-05-25 |
| 1265060289 | Biotia, Inc. | Clinical Medical Laboratory | 140 58th St., Building A Suite 8j, Brooklyn, NY 11220-1122 | 2020-03-27 |
| 1497382071 | 168 Dme Inc | Clinical Medical Laboratory | 13505 38th Ave, Flushing, NY 11354-4467 | 2020-03-24 |
| 1285285148 | Anderson Diagnostics, Inc | Clinical Medical Laboratory | 425 N Broadway Unit 634, Jericho, NY 11753-5032 | 2019-09-23 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1043869068 | Champlain Toxicology Lab, LLC | Clinical Medical Laboratory | 32 Veterans Ln Ste 2, Plattsburgh, NY 12901-1217 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.