DERMATOPATHOLOGY LABORATORY OF NEW ENGLAND PC (NPI# 1912915828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912915828 |
Entity Type | Organization |
Organization Name | DERMATOPATHOLOGY LABORATORY OF NEW ENGLAND PC |
Practice Address |
140 Green Rd Meriden CT 06450-6612 |
Practice Telephone | 2036302666 |
Practice Fax Number | 2036302909 |
Mailing Telephone | 2036302666 |
Mailing Fax Number | 2036302909 |
Enumeration Date | 2006-08-04 |
Last Update Date | 2013-02-25 |
Authorized Official Name | PHILIP EDWIN SHAPIRO (PRESIDENT) |
Authorized Official Telephone | 2086302666 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207N00000X | Dermatology | 029159 | CT | Allopathic & Osteopathic Physicians |
Y | 291U00000X | Clinical Medical Laboratory | CL0562 | CT | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ANTHEM BCBS | 070CL0562CT01 | 01 | |
CT | 004236081 | 05 |
Street Address |
140 GREEN RD |
City | MERIDEN |
State | CT |
Zip Code | 06450-6612 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578571493 | Torsten Ehrig | Pathology | 140 Green Rd, Meriden, CT 06450 | 2006-08-04 |
1801005673 | Alicia Coen Sigal | Dermatology | 140 Green Rd, Meriden, CT 06450-6612 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
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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 |
---|---|---|---|---|
1114011269 | Medical Oncology & Hematology PC | Clinical Medical Laboratory | 455 Lewis Ave, Meriden, CT 06451 | 2006-10-03 |
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1033734215 | Dot Laboratories, Inc. | Clinical Medical Laboratory | 780 E Main St Ste 1, Branford, CT 06405-2956 | 2020-06-12 |
1649818006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1290 Summer St Ste 5100, Stamford, CT 06905-5339 | 2019-12-17 |
1720626328 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2 1/2 Dearfield Dr # 1, Greenwich, CT 06831-5335 | 2019-12-13 |
1568008118 | Enzo Clinical Labs, Inc. | Clinical Medical Laboratory | 4 Corporate Dr Ste 283, Shelton, CT 06484-6211 | 2019-11-19 |
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 |
1124536107 | Esoterix Genetic Laboratories, LLC | Clinical Medical Laboratory | 3 Forest Pkwy, Shelton, CT 06484-6122 | 2018-01-12 |
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 |
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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.