CORIELL INSTITUTE FOR MEDICAL RESEARCH (NPI# 1356656862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356656862 |
| Entity Type | Organization |
| Organization Name | CORIELL INSTITUTE FOR MEDICAL RESEARCH |
| Practice Address |
403 Haddon Ave Camden NJ 08103-1505 |
| Practice Telephone | 8569667377 |
| Practice Fax Number | 8569640254 |
| Mailing Telephone | 8569667377 |
| Mailing Fax Number | 8569640254 |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | MR. EDWARD JOHN PALLIES (BUSINESS MANAGER) |
| Authorized Official Telephone | 8567574826 |
| Authorized Official Credential | MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 00015734 | NJ | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CORIELL INSTITUTE FOR MEDICAL RESEARCH, INC. | 403 Haddon Ave, Camden, NJ 08103-1505 |
| Street Address |
403 HADDON AVE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750745519 | Coriell Life Sciences, Inc. | Genetic Counselor, MS | 403 Haddon Ave, Camden, NJ 08103-1505 | 2016-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| 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 |
|---|---|---|---|---|
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| 1184989840 | Sentinel Health Partners, Pa | Clinical Medical Laboratory | 1344 Haile St, Camden, SC 29020-3076 | 2012-07-09 |
| 1851461529 | Kershaw Health | Clinical Medical Laboratory | 1315 Roberts St, Camden, SC 29020-3737 | 2006-11-09 |
| 1720023583 | Cooper Pathology, PC | Clinical Medical Laboratory | 1 Cooper Plz, Camden, NJ 08103-1461 | 2006-06-17 |
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| 1083234686 | Rutgers, The State University of New Jersey | Clinical Medical Laboratory | 604 Allison Rd, Piscataway, NJ 08854-8000 | 2020-04-23 |
| 1548896996 | Lab X Health LLC | Clinical Medical Laboratory | 4 Brighton Rd Ste 308, Clifton, NJ 07012-1665 | 2020-03-18 |
| 1881226579 | Clinical Laboratory of Nj LLC | Clinical Medical Laboratory | 88 Pompton Ave, Verona, NJ 07044-2944 | 2020-02-10 |
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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.