ATLANTIC DIAGNOSTIC LABORATORIES, LLC (NPI# 1811441751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811441751 |
| Entity Type | Organization |
| Organization Name | ATLANTIC DIAGNOSTIC LABORATORIES, LLC |
| Practice Address |
20 Quirk Rd Milford CT 06460-3745 |
| Mailing Address |
3520 Progress Dr Suite C Bensalem PA 19020-5810 |
| Practice Telephone | 2675252470 |
| Mailing Telephone | 2675250467 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | MR. AARON A DOMENICO (COO) |
| Authorized Official Telephone | 2675252470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CL-0764 | CT | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225424294 | Atlantic Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 8419 Sharon Mercer Rd, Mercer, PA 16137-3169 | 2015-04-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ATLANTIC DIAGNOSTIC LABORATORIES, LLC | 3520 Progress Dr Ste C, Bensalem, PA 19020-5810 |
| Connecticut Business Registrations | ATLANTIC DIAGNOSTIC LABORATORIES, LLC | 20 Quirk Rd, Milford, CT 06460 |
| Street Address |
20 QUIRK RD |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| 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 |
|---|---|---|---|---|
| 1932553401 | Seascape Health Alliance | Clinical Medical Laboratory | 628 Milford Harrington Hwy, Ste 5, Milford, DE 19963-5370 | 2016-04-20 |
| 1508863713 | Milford Medical Laboratory, Inc. | Clinical Medical Laboratory | 2068 Bridgeport Ave, Milford, CT 06460-4634 | 2005-07-01 |
| 1770053548 | Lab At Seascape | Clinical Medical Laboratory | 1031 Canterbury Rd, Milford, DE 19963-5511 | 2018-12-04 |
| 1407343056 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 101 Cedar St, Milford, MA 01757-1101 | 2018-04-19 |
| 1164868303 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 176 West St, Milford, MA 01757-2236 | 2013-05-15 |
| 1083986905 | Brli Genpath Diagnostics, Inc | Clinical Medical Laboratory | 25 Birch St, Building C, 3rd Floor, Milford, MA 01757-3585 | 2012-02-08 |
| 1366714446 | Bio-reference Laboratories, Inc. | Clinical Medical Laboratory | 25 Birch St, Bldg C. 3rd Florr, Milford, MA 01757-3585 | 2012-02-03 |
| 1427219211 | Sem Haven Inc | Clinical Medical Laboratory | 225 Cleveland Ave, Milford, OH 45150-1009 | 2008-06-24 |
| 1437202942 | Bio-lab, Inc. | Clinical Medical Laboratory | 215 West St, Milford, MA 01757-2277 | 2007-01-19 |
| 1518035963 | Imgen Diagnostics, Inc. | Clinical Medical Laboratory | 321 Fortune Blvd, Milford, MA 01757-1750 | 2006-12-02 |
| Find all providers in MILFORD | ||||
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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.