IDEAL LABS, LLC (NPI# 1467602805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467602805 |
| Entity Type | Organization |
| Organization Name | IDEAL LABS, LLC |
| Practice Address |
307 Hamburg Tpke Wayne NJ 07470-2142 |
| Mailing Address |
Po Box 144333 Orlando FL 32814-4333 |
| Practice Telephone | 9739563589 |
| Practice Fax Number | 9757205733 |
| Mailing Telephone | 4074229831 |
| Mailing Fax Number | 4076482065 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2009-03-30 |
| Authorized Official Name | JOSE D. ESPINAL-MARIOTTE (PRESIDENT) |
| Authorized Official Telephone | 9739563589 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0003305 | NJ | Laboratories |
| Street Address |
307 HAMBURG TPKE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831589738 | Ideal Pathology Associates, LLC | Pathology | 307 Hamburg Tpke, Suite 1a, Wayne, NJ 07470-2142 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| 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 |
|---|---|---|---|---|
| 1669814588 | Helen Fernandes | Clinical Medical Laboratory | 8 Huff Rd, Wayne, NJ 07470-2932 | 2013-07-19 |
| 1972052512 | Novalab Corp | Clinical Medical Laboratory | 87 Berdan Ave, Suite #4, Wayne, NJ 07470-3210 | 2016-09-23 |
| 1225380199 | Evidia Biosciences Inc - Pa | Clinical Medical Laboratory | 995 Old Eagle School Rd, 310, Wayne, PA 19087-1709 | 2012-10-02 |
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| 1336763531 | Medlife Diagnostic Laboratories | Clinical Medical Laboratory | 1717 Brunswick Ave, Lawrence Twp, NJ 08648 | 2020-06-03 |
| 1083236020 | Right Way Laboratory, LLC | Clinical Medical Laboratory | 750 Hamburg Turnpike, Pompton, NJ 07442 | 2020-05-13 |
| 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.