ETHEL DIAGNOSTIC LABORATORY (NPI# 1437704905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437704905 |
| Entity Type | Organization |
| Organization Name | ETHEL DIAGNOSTIC LABORATORY |
| Practice Address |
4 Ethel Road, Suite 402a Edison NJ 08817 |
| Mailing Address |
P O Box 34 Marlboro NJ 07746-0034 |
| Practice Telephone | 7329026968 |
| Mailing Telephone | 8488638700 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | DIANA LI (OFFICE MANAGER) |
| Authorized Official Telephone | 9083380663 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
4 ETHEL ROAD, SUITE 402A |
| City | EDISON |
| State | NJ |
| Zip Code | 08817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1518582956 | Ismile Dental Care of Edison | Dentist | 1914 B Route 27, Edison, NJ 08817 | 2020-06-11 |
| 1316509250 | Hyun Sang Lee | Optometrist | 2210 Route 27 North, Edison, NJ 08817 | 2019-07-01 |
| 1578022851 | Labor of Love Healthcare LLC | Nursing Care | 1967 Lincoln Highway, Suite 33, Edison, NJ 08817 | 2019-03-18 |
| 1932664349 | Marlene Bott | Occupational Therapist | 2035 Lincoln Highway, Edison Square West, Edison, NJ 08817 | 2019-02-11 |
| 1174092928 | Neil Bakhru | Occupational Therapist | 802 Merrywood Drive, Edison, NJ 08817 | 2018-11-21 |
| 1164912697 | Milton Perez | Driver | 14m Reading Rd, Edison, NJ 08817 | 2018-05-10 |
| 1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
| 1982126942 | Oasis Pharmacy LLC | Pharmacy | 237 Plainfield Avenue, Edison, NJ 08817 | 2017-07-12 |
| Find all providers in zip 08817 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic 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. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). 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 |
|---|---|---|---|---|
| 1588179063 | Diosdado Non Medical Services LLC | Pathology | 525 Route 70 Ste 1f, Brick, NJ 08723-4022 | 2017-12-06 |
| 1205213402 | Andrew Myles Parrott | Pathology | 50 Rockledge Dr, Livingston, NJ 07039-1902 | 2015-04-27 |
| 1750672119 | Daniel Jonas Fix | Pathology | 30 Prospect Ave Dept Of, Hackensack, NJ 07601-1915 | 2011-04-20 |
| 1487978862 | Marina Penteado Sandoval | Pathology | 12 Canterbury Dr, North Caldwell, NJ 07006-4229 | 2010-03-15 |
| 1538321609 | Charles Theodore Ladoulis | Pathology | 5 Grand Tour, Locust, NJ 07760-2343 | 2008-06-30 |
| 1447371794 | Siucok O. Ang | Pathology | 69 First Ave, Raritan, NJ 08869 | 2007-04-03 |
| 1811078892 | Adnan Tabrez Savera | Pathology | 16 Quail Run, Florham Park, NJ 07932-1754 | 2006-10-18 |
| 1083709208 | Leza N Gallo | Pathology | Quest Diagnostics, 1 Malcolm Avenue, Teterboro, NJ 07608 | 2006-10-04 |
| 1972608313 | Adam Kuehn | Pathology | 3311 Brunswick Pike, Lawrenceville, NJ 08648 | 2006-09-13 |
| 1932143112 | Manjula Vara | Pathology | Trinitas Hospital, 225 Williamson St, Elizabeth, NJ 07207 | 2006-06-16 |
| 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.