STATE OF VERMONT (NPI# 1215151410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215151410 |
| Entity Type | Organization |
| Organization Name | STATE OF VERMONT |
| Other Organization Name | VERMONT DEPARTMENT OF HEALTH LABORATORY |
| Practice Address |
Vermont Public Health Laboratory 359 South Park Drive Colchester VT 05446 |
| Mailing Address |
Po Box 70, Suite 202 Burlington VT 05402-0070 |
| Practice Telephone | 8028637284 |
| Practice Fax Number | 8028637632 |
| Mailing Telephone | 8028637284 |
| Mailing Fax Number | 8028637632 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | PAUL DALEY (FINANCIAL DIRECTOR) |
| Authorized Official Telephone | 8028637284 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF VERMONT |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0008013 | 05 |
| Other Name | Type Code |
|---|---|
| Vermont Department of Health Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518394212 | State of Vermont | Community Based Residential Treatment Facility, Mental Illness | 1076 Us Rte 2, Middlesex, VT 05633-7801 | 2013-09-26 |
| 1164542361 | State of Vermont | Durable Medical Equipment & Medical Supplies | 108 Cherry St, Burlington, VT 05401-4295 | 2007-03-30 |
| 1215017678 | State of Vermont | Psychiatry & Neurology | 103 South Main Street, Waterbury, VT 05671-9800 | 2006-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | STATE OF VERMONT - YOUTH CONSERVATION CORPS, INC. | 1949 East Main St., Richmond, VT 05477 |
| Vermont Business Registrations | STATE OF VERMONT BUSINESS CARD EXCHANGE | Pob 110, So. Barre, VT 05670 |
| Street Address |
VERMONT PUBLIC HEALTH LABORATORY 359 SOUTH PARK DRIVE |
| City | COLCHESTER |
| State | VT |
| Zip Code | 05446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130157 | Justin Michael Boufford | Pharmacist | 218 Lower Mountian View Dr., Colchester, VT 05446 | 2020-09-24 |
| 1174154991 | The Vermont Center for Responder Wellness | Social Worker | 162 Hegeman Avenue, Suite 100, Colchester, VT 05446 | 2020-01-30 |
| 1972011047 | Erin Lee Murphy | Speech-Language Pathologist | 131 Laker Lane, Colchester, VT 05446 | 2018-01-11 |
| 1821535204 | Zoe Walsh | Specialist/Technologist | 131 Laker Ln, Colchester, VT 05446 | 2017-01-24 |
| 1407262827 | Charlotte M Church | Dentist | 416 Roosevelt Hwy Ste 201, Colchester, VT 05446 | 2014-07-07 |
| 1215251681 | Courtney Joy Brink | Speech-Language Pathologist | 1100 Prim Rd, Colchester, VT 05446 | 2010-03-15 |
| 1316170343 | Alexis Brooke Ressler | Nurse Practitioner | 729 Colchester Parkway, Medical Office Building, Suite 205, Colchester, VT 05446 | 2009-08-25 |
| 1659539393 | Deborah Kalamasz | Speech-Language Pathologist | 11102 Ethan Allen Ave, Colchester, VT 05446 | 2008-05-29 |
| 1235356700 | Angelo Marinakis | Chiropractor | 85 Prim Road, Suite 401, Colchester, VT 05446 | 2007-04-19 |
| 1629292719 | Susan Mary Coleman | Occupational Therapist | 800 Middle Road, Colchester, VT 05446 | 2007-04-12 |
| Find all providers in zip 05446 | ||||
| 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 |
|---|---|---|---|---|
| 1427458124 | Northeastern Reproductive Medicine Laboratories Pllc | Clinical Medical Laboratory | 105 Westview Rd, Suite 302, Colchester, VT 05446-8025 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952841975 | Kaila Hanover | Clinical Medical Laboratory | 187 Saint Paul St Ste 3b-1, Burlington, VT 05401-4689 | 2017-02-24 |
| 1548703556 | Bla Partners, LLC | Clinical Medical Laboratory | 530 Community Dr, Suite 2, South Burlington, VT 05403-6834 | 2016-11-22 |
| 1831327170 | Dominion Diagnostics, LLC | Clinical Medical Laboratory | 1191 S Brownell Rd, Suite 30, Williston, VT 05495-7415 | 2009-06-25 |
| 1679551840 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 252 River St, Springfield, VT 05156-2306 | 2006-01-06 |
| 1760922660 | Phoenix Diagnostic Labs | Clinical Medical Laboratory | 187 Saint Paul St Ste 3b-1, Burlington, VT 05401-4689 | 2017-02-27 |
| 1740731769 | Burlington Labs Acquisition, LLC | Clinical Medical Laboratory | 199 Main St, Suite 226, Burlington, VT 05401-8309 | 2016-10-14 |
| 1447621461 | Mmhc | Clinical Medical Laboratory | 135 Lake St, Suite 1, Saint Albans, VT 05478-2249 | 2015-10-16 |
| 1346636461 | Burlington Labs, LLC | Clinical Medical Laboratory | 199 Main St, Suite 226, Burlington, VT 05401-8309 | 2015-04-15 |
| 1033530696 | Battenkill Valley Health Center, Inc | Clinical Medical Laboratory | 9 Church St, Arlington, VT 05250 | 2013-12-30 |
| 1639425903 | Advanced Laboratories, LLC | Clinical Medical Laboratory | 199 Stratton Rd, Rutland, VT 05701-4890 | 2012-07-24 |
| Find all providers with the same taxonomy | ||||
| City | COLCHESTER |
| Zip Code | 05446 |
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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.