State Of New York in Staten Island - Clinical Medical Laboratory
State Of New York - NPI 1962579235
State Of New York is a Clinical Medical Laboratory in Staten Island, New York. State Of New York practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for State Of New York is 1962579235. The last update date is 2009-02-25.
State Of New York's current location address is 1050 Forest Hill Rd, Staten Island, New York. You can contact this provider via phone number 7184945345 and fax number 7184940694. The mailing address for State Of New York is 1050 Forest Hill Rd, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of New York |
|---|---|
| Address | 1050 Forest Hill Rd, Staten Island, New York |
| Phone Number | 7184945345 |
| Fax Number | 7184940694 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | LAB DIRECT |
|---|---|
| Authorized Official Name | Jenkins C. Edmund |
| Credentials | PHD |
| Telephone Number | 7184945236 |
NPI Number Detail
| NPI Number | 1962579235 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2009-02-25 |
Provider Mailing Address Detail
| Address | 1050 Forest Hill Rd |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103146356 |
| Phone Number | 7184945345 |
| Fax Number | 7184940694 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 7097M040 |
|
Definition: (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 purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33D0860102 | CLIA | ||
| 782518 | NY | -- | |
| 7097M040 | NY | NYS LAB LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to State Of New York by the Centers for Medicare & Medicaid Services?
The State Of New York has been assigned the NPI (National Provider Identifier) 1962579235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where State Of New York's facilities are geographically located?
The facilities of State Of New York are physically situated at the following location: 1050 Forest Hill Rd, Staten Island, NY, 103146356.
What is State Of New York's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The State Of New York's specialized field of practice is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of specialization is 291U00000X.
When was the State Of New York's 1962579235 issued?
The State Of New York's 1962579235 was issued on 2006-11-29.
When was the information pertaining to State Of New York most recently updated or revised?
The details related to State Of New York, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-25.
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