ATLANTIC DIAGNOSTIC LABORATORIES, LLC. (NPI# 1881841120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881841120 |
| Entity Type | Organization |
| Organization Name | ATLANTIC DIAGNOSTIC LABORATORIES, LLC. |
| Practice Address |
3520 Progress Dr Suite C Bensalem PA 19020-5810 |
| Practice Telephone | 2675252470 |
| Practice Fax Number | 2675252488 |
| Mailing Telephone | 2675252470 |
| Mailing Fax Number | 2675252488 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2016-11-03 |
| Authorized Official Name | AARON 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 | 024997 | PA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CLINICAL LABORATORY PERMIT | 024997 | 01 |
| 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 |
3520 PROGRESS DR SUITE C |
| City | BENSALEM |
| State | PA |
| Zip Code | 19020-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124580998 | Smart Choice Pharmacy | Pharmacy | 1941 Street Road, Bensalem, PA 19020 | 2019-04-02 |
| 1275072910 | Sakina Shakir | Physical Therapist | 449 High Rd, Apt B2, Bensalem, PA 19020 | 2017-02-14 |
| 1699211755 | Kevin Maness | Social Worker | 4833 Hulmeville Rd., Bensalem, PA 19020 | 2017-01-13 |
| 1134583545 | Ashley Perrone | Marriage & Family Therapist | 501 Cambria Ave., Suite #113, Bensalem, PA 19020 | 2016-04-12 |
| 1720464720 | Amanda Morton | Specialist/Technologist | 1851 Adler Road, Bensalem, PA 19020 | 2015-08-03 |
| 1205241551 | Nane Baluyan | Dentist | 3200 Bristol Rd, Bensalem, PA 19020 | 2014-06-25 |
| 1972915247 | Outstanding Homecare Solutions LLC | Home Health | 3010 Bristal Pike, 1-102d, Bensalem, PA 19020 | 2014-05-21 |
| 1164841789 | Daria M. Kemp | Dermatology | 1950 Street Rd Ste 100, Bensalem, PA 19020 | 2014-04-10 |
| 1043638000 | Angelo Paul Savelloni | Podiatrist | 3554 Hulmeville Rd Ste 104, Bensalem, PA 19020 | 2014-04-06 |
| 1801214754 | Horace Macvaugh IIi | Dermatology | 2813 Bristol Pike, Capri Clinic, Bensalem, PA 19020 | 2014-03-28 |
| Find all providers in zip 19020 | ||||
| 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 |
|---|---|---|---|---|
| 1487683058 | Professional Technicians Incorporated | Clinical Medical Laboratory | 550 State Rd, Suite 210, Bensalem, PA 19020-8700 | 2006-07-03 |
| 1346291986 | Parkway Clinical Laboratories, Inc. | Clinical Medical Laboratory | 3494 Progress Drive, Ste D, Bensalem, PA 19020-5815 | 2006-05-15 |
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|---|---|---|---|---|
| 1144830266 | Lifesensors, Inc. | Clinical Medical Laboratory | 271 Great Valley Pkwy, Malvern, PA 19355-1308 | 2020-08-04 |
| 1891312179 | Allora Laboratory, LLC | Clinical Medical Laboratory | 405 Saint Johns Church Rd Ste 104, Camp Hill, PA 17011-5739 | 2020-07-02 |
| 1548885676 | Frontage Laboratories, Inc. | Clinical Medical Laboratory | 700 Pennsylvania Dr, Exton, PA 19341-1129 | 2020-06-15 |
| 1003439191 | Testing Centers of America LLC | Clinical Medical Laboratory | 411 Swedeland Rd, King of Prussia, PA 19406-2716 | 2020-05-22 |
| 1760003313 | Anpac Technology Usa Co Ltd | Clinical Medical Laboratory | 727 Norristown Rd., 3 Spring House Innovation Park Suite 150, Lower Gywnedd, PA 19002 | 2020-05-05 |
| 1922635739 | Contamination Source Identification LLC | Clinical Medical Laboratory | 419 14th St, Huntingdon, PA 16652-1937 | 2020-03-24 |
| 1821623703 | Dj Lab LLC | Clinical Medical Laboratory | 2550 Brodhead Rd Ste 202, Bethlehem, PA 18020-8922 | 2020-03-11 |
| 1568095099 | Truchoice Diagnostics LLC | Clinical Medical Laboratory | 135 Midway Dr., Dubois, PA 15801-3857 | 2020-02-12 |
| 1134770720 | Central Pennsylvania Alliance Laboratory LLC | Clinical Medical Laboratory | 1803 Mount Rose Ave Ste C-3c4, York, PA 17403-3026 | 2019-09-25 |
| 1578125761 | Allergenis, LLC | Clinical Medical Laboratory | 2801 Sterling Dr, Hatfield, PA 19440-1956 | 2019-07-08 |
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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.