MONMOUTH TISSUE LABORATORY, LLC (NPI# 1467740936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467740936 |
| Entity Type | Organization |
| Organization Name | MONMOUTH TISSUE LABORATORY, LLC |
| Practice Address |
10 Industrial Way E Suite 110 Eatontown NJ 07724-3332 |
| Mailing Address |
142 Highway 35 Suite 206 Eatontown NJ 07724-1876 |
| Practice Telephone | 7324602838 |
| Mailing Telephone | 7324602838 |
| Mailing Fax Number | 7324602843 |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |
| Authorized Official Name | DAVID PORTMAN (OWNER) |
| Authorized Official Telephone | 7323891531 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
10 INDUSTRIAL WAY E SUITE 110 |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076472 | Ira G Keselman | Urology | 10 Industrial Way E, Suite 101, Eatontown, NJ 07724-3332 | 2006-01-04 |
| 1215400973 | Raphael Roxas Samson | Counselor | 10 Industrial Way E, Eatontown, NJ 07724-3332 | 2019-01-05 |
| 1881199941 | Roger Thomas Borichewski | Social Worker | 10 Industrial Way E, Eatontown, NJ 07724-3332 | 2018-03-29 |
| 1073012274 | Katherine Celardo | Social Worker | 10 Industrial Way E, Eatontown, NJ 07724-3332 | 2018-02-03 |
| 1275060014 | Patricia M Kremer | Counselor | 10 Industrial Way E, Eatontown, NJ 07724-3332 | 2017-05-11 |
| 1689106593 | Jules Francois | Case Manager/Care Coordinator | 10 Industrial Way E, Eatontown, NJ 07724-3332 | 2017-03-30 |
| 1588116404 | Sara Lewis | Social Worker | 10 Industrial Way E, Eatontown, NJ 07724-3332 | 2016-10-26 |
| 1255737896 | Vascular Access Center of Eatontown LLC | Surgery | 10 Industrial Way E, Suite 7, Eatontown, NJ 07724-3332 | 2014-11-10 |
| 1457772154 | Rebecca Elizabeth Zumba | Social Worker | 10 Industrial Way E, Eatontown, NJ 07724-3332 | 2013-12-23 |
| 1225392483 | Joni Feldbaum-smith | Optometrist | 10 Industrial Way E, Suite 102, Eatontown, NJ 07724-3332 | 2012-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| 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 |
|---|---|---|---|---|
| 1417924424 | Pathology Solutions LLC | Clinical Medical Laboratory | 246 Industrial Way West, Suite 2, Eatontown, NJ 07724 | 2006-03-08 |
| 1578989935 | Monmouth Behavioral Diagnostics, LLC | Clinical Medical Laboratory | 3 Corbett Way, Suite B, Eatontown, NJ 07724-2283 | 2014-03-10 |
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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.