MCCLAIN LABORATORIES LLC (NPI# 1144283912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144283912 |
| Entity Type | Organization |
| Organization Name | MCCLAIN LABORATORIES LLC |
| Practice Address |
45 Manor Rd Smithtown NY 11787-2735 |
| Practice Telephone | 6313614000 |
| Practice Fax Number | 6313614037 |
| Mailing Telephone | 6313614000 |
| Mailing Fax Number | 6313614037 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | DR. STEVE A MCCLAIN (PRESIDENT/CEO) |
| Authorized Official Telephone | 6313614000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
163196-1 | NY | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
163196-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 3130854 | 05 |
| Street Address |
45 MANOR RD |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386805505 | Shelley L Tepper | Pathology | 45 Manor Rd, Smithtown, NY 11787-2735 | 2008-06-19 |
| 1295799625 | Steve A Mcclain | Pathology | 45 Manor Rd, Smithtown, NY 11787-2735 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386805505 | Shelley L Tepper | Pathology | 45 Manor Rd, Smithtown, NY 11787-2735 | 2008-06-19 |
| 1962494427 | Alan B Macdonald | Pathology | 50 Route 25a, Smithtown, NY 11787-1348 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989388 | Prime Pathology Laboratory, LLC | Pathology | 196 Meeting House Ln, Southampton, NY 11968-5062 | 2019-12-20 |
| 1275006025 | Sterling Physicians | Pathology | 15408 Northern Blvd Ste 2k, Flushing, NY 11354-5042 | 2019-01-04 |
| 1033605696 | Riddhish Tushar Sheth | Pathology | 4370 Kissena Blvd Apt 12a, Flushing, NY 11355 | 2018-07-07 |
| 1740783810 | Rgld Pathology PC | Pathology | 3765 Riverdale Ave Ste 7, Bronx, NY 10463-1845 | 2018-03-14 |
| 1346755410 | Sunstone Pathology Services PC | Pathology | 1010 Adams Ave, Franklin Square, NY 11010-2248 | 2017-12-11 |
| 1316494578 | Jane Date Hon | Pathology | 7528 167th St, Flushing, NY 11366-1327 | 2016-09-06 |
| 1518340876 | Rachana Choksi | Pathology | Nichols Road Department of Pathology Level 2-749, Stony Brook, NY 11794-7025 | 2015-07-06 |
| 1619359916 | Hamza Numan Gokozan | Pathology | 525 E 68th St Rm F-771a, New York, NY 10065-4870 | 2015-06-23 |
| 1679988612 | Lingxin Zhang | Pathology | 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 | 2014-06-29 |
| 1003227737 | Jose Victor Scarpa Carniello | Pathology | 525 E 68th St Rm F-07766b, New York, NY 10065-4870 | 2014-05-15 |
| Find all providers with the same taxonomy | ||||
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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.