STATE OF DELAWARE (NPI# 1922170703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922170703 |
| Entity Type | Organization |
| Organization Name | STATE OF DELAWARE |
| Other Organization Name | DPH LAB |
| Practice Address |
417 Federal St Dover DE 19901-3635 |
| Practice Telephone | 3027444548 |
| Practice Fax Number | 3027391613 |
| Mailing Telephone | 3027444548 |
| Mailing Fax Number | 3027391613 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | KARYL RATTAY (DIRECTOR) |
| Authorized Official Telephone | 3027444700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0000160809 | 05 |
| Other Name | Type Code |
|---|---|
| DPH Lab | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669977930 | State of Delaware | Case Management | 1054 S Governors Ave, Dover, DE 19904-6920 | 2018-03-28 |
| 1114283850 | State of Delaware | Clinic/Center | 669 S Carter Rd, Smyrna, DE 19977-1752 | 2012-04-06 |
| 1932243805 | State of Delaware | Local Education Agency (LEA) | 945 Forest St, Dover, DE 19904-3401 | 2007-02-16 |
| 1841334711 | State of Delaware | Local Education Agency (LEA) | 318 E Basin Rd, New Castle, DE 19720-4214 | 2007-02-16 |
| 1568506434 | State of Delaware | Local Education Agency (LEA) | 519 N Market St, Wilmington, DE 19801-3004 | 2007-02-16 |
| 1730223603 | State of Delaware | Local Education Agency (LEA) | 82 Monrovia Ave, Smyrna, DE 19977-1431 | 2007-02-16 |
| 1194869065 | State of Delaware | Local Education Agency (LEA) | 1121 Thatcher St, Wilmington, DE 19802-5135 | 2007-02-16 |
| 1487798351 | State of Delaware | Local Education Agency (LEA) | 16359 Sussex Hwy, Bridgeville, DE 19933-2966 | 2007-02-16 |
| 1013051986 | State of Delaware | Local Education Agency (LEA) | 21 N Bradford St, Dover, DE 19904-3101 | 2007-02-16 |
| 1740324615 | State of Delaware | Local Education Agency (LEA) | 2200 N Locust St, Wilmington, DE 19802-4429 | 2007-02-16 |
| Street Address |
417 FEDERAL ST |
| City | DOVER |
| State | DE |
| Zip Code | 19901-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033298294 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-11-06 |
| 1124216585 | Karyl T. Rattay | Pediatrics | 417 Federal St, Dover, DE 19901-3635 | 2007-10-11 |
| 1386768612 | Herman Martin Ellis | Preventive Medicine | 417 Federal St, Dover, DE 19901-3635 | 2007-03-19 |
| 1851455067 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-21 |
| 1114087921 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-11 |
| 1891854402 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-08 |
| 1841358264 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-05 |
| 1649338062 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-05 |
| 1477611895 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-05 |
| 1104984525 | State of Delaware | Clinic/Center | 417 Federal St, Dover, DE 19901-3635 | 2006-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386274488 | Aba Services, LLC | Behavioral Analyst | 8 The Green, Ste R, Dover, DE 19901 | 2020-01-17 |
| 1699332171 | Robin Lynn Maracle | Clinical Nurse Specialist | 640 S. State St., Mail Code 1403, Dover, DE 19901 | 2019-05-21 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1831610534 | Vaman Kanu Patel | Physical Therapist | 16 Coventry Ct, Dover, DE 19901 | 2017-07-03 |
| 1033656798 | American Medical LLC | Durable Medical Equipment & Medical Supplies | 9 E. Lockerman Street, #202, Dover, DE 19901 | 2017-01-19 |
| 1245575067 | Keena Segre | Pharmacist | 601 South State Street, Dover, DE 19901 | 2012-12-05 |
| 1376845818 | Michael Angelo Vernale IIi | Psychologist | 260 Chad Street, Dover Afb, Dover, DE 19901 | 2010-12-02 |
| 1396046215 | Richard Scott Shipley | Hearing Instrument Specialist | 1000 Dover Mall,miracle Ear/sears/, Route 13 North Dupont Hwy., Dover, DE 19901 | 2010-11-09 |
| 1780999599 | Suzanne Irene Ford | Speech-Language Pathologist | 1695 S. State Street Suite 5-a, Dover, DE 19901 | 2010-08-17 |
| 1780816231 | Karen A West | Nutritionist | 540 S State St, Dover, DE 19901 | 2009-08-18 |
| Find all providers in zip 19901 | ||||
| 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 |
|---|---|---|---|---|
| 1134736887 | Theressa Milhouse | Clinical Medical Laboratory | 400 N Dupont Hwy Apt J35, Dover, DE 19901-2502 | 2020-09-28 |
| 1376914531 | Beacon Pathology LLC | Clinical Medical Laboratory | 35 Brookfield Rd, Dover, MA 02030-1805 | 2015-10-14 |
| 1972100238 | Heart To Heart Health Services | Clinical Medical Laboratory | 400 N Dupont Hwy Apt J35, Dover, DE 19901-2502 | 2020-10-08 |
| 1235605429 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820-2526 | 2018-10-16 |
| 1124496823 | Wentworth Douglass Hospital | Clinical Medical Laboratory | 789 Central Ave, Dover, NH 03820 | 2015-09-11 |
| 1154798585 | Green Clinics Laboratory, LLC | Clinical Medical Laboratory | 740 S New St Ste B, Dover, DE 19904-3571 | 2015-09-02 |
| 1659768265 | Kimberly Milligan | Clinical Medical Laboratory | 600 W Division St, Dover, DE 19904-2702 | 2015-04-21 |
| 1154718930 | Bg Laboratory, Inc | Clinical Medical Laboratory | 600 W Division St, Dover, DE 19904-2702 | 2015-04-20 |
| 1053724815 | Advanced Sleep Disorders Center LLC | Clinical Medical Laboratory | 200 Banning St, Suite 210, Dover, DE 19904-3487 | 2014-06-09 |
| 1629304472 | Hennis Care Center of Dover | Clinical Medical Laboratory | 1720 N Cross St, Dover, OH 44622-1043 | 2009-10-29 |
| Find all providers in DOVER | ||||
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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.