MADISON CORE LABORATORIES, LLC (NPI# 1174912695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174912695 |
| Entity Type | Organization |
| Organization Name | MADISON CORE LABORATORIES, LLC |
| Practice Address |
120 W Dublin Dr Ste 105 Madison AL 35758-3156 |
| Mailing Address |
169 S Main St # 344 New City NY 10956-3353 |
| Practice Telephone | 2568500075 |
| Practice Fax Number | 2568503186 |
| Mailing Telephone | 2568500075 |
| Mailing Fax Number | 2568503186 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2020-06-29 |
| Authorized Official Name | EDITA C. GOOCO (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2568500075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 01D2097667 | AL | Laboratories |
| Y | 291U00000X | Clinical Medical Laboratory | L4593 | AL | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51167938 | 01 |
| AL | 183291 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2705 Artie St Sw Bldg 400 Ste 25, Huntsville, AL 358054762 | 2568500075 | 2568503186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998805 | Madison Core Laboratories, LLC | Clinical Medical Laboratory | 2705 Artie St Sw Ste 25, Huntsville, AL 35805-4762 | 2018-07-16 |
| Street Address |
120 W DUBLIN DR STE 105 |
| City | MADISON |
| State | AL |
| Zip Code | 35758-3156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| 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. |
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| 1629407069 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 145 E Badger Rd Ste 100, Madison, WI 53713-2723 | 2013-11-06 |
| 1679747000 | Metabolic Analysis Labs Inc | Clinical Medical Laboratory | 1202 Ann St, Madison, WI 53713-2410 | 2008-04-16 |
| 1164628681 | Kids Time Pediatrics, LLC | Clinical Medical Laboratory | 696 Billups Ave, Madison, GA 30650-1439 | 2007-06-22 |
| 1053492611 | M.r.diagnostic and Imaging Center,inc | Clinical Medical Laboratory | 6441 Enterprise Ln Ste 211, Madison, WI 53719-1156 | 2006-10-18 |
| 1669458386 | University of Wisconsin System Non Payroll | Clinical Medical Laboratory | 465 Henry Mall, Madison, WI 53706-1378 | 2005-12-15 |
| 1346244993 | Meriter Health Enterprises Inc. | Clinical Medical Laboratory | 36 S Brooks St, Madison, WI 53715-1304 | 2005-06-10 |
| 1487209110 | Exact Sciences Corporation | Clinical Medical Laboratory | 145 E Badger Rd Ste 100, Madison, WI 53713-2723 | 2019-08-08 |
| 1174037329 | Laboratory Corporation of America | Clinical Medical Laboratory | 3434 E Washington Ave, Madison, WI 53704-4155 | 2017-11-27 |
| Find all providers in MADISON | ||||
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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.