GRANITE STATE LAB LLC (NPI# 1548686850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548686850 |
| Entity Type | Organization |
| Organization Name | GRANITE STATE LAB LLC |
| Practice Address |
120 Washington Street Rochester NH 03867 |
| Practice Telephone | 6033307057 |
| Mailing Telephone | 6033307057 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-11 |
| Authorized Official Name | JOHN MARZINZIK (SENIOR VP, CFO) |
| Authorized Official Telephone | 6033358103 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
120 WASHINGTON STREET |
| City | ROCHESTER |
| State | NH |
| Zip Code | 03867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447676754 | Granite State Express Care LLC | Clinic/Center | 120 Washington Street, Rochester, NH 03867 | 2014-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801402862 | Allergy and Asthma Center | Allergy & Immunology | 161 Rochester Hill Road, Rochester, NH 03867 | 2020-09-16 |
| 1245874908 | Alicia Anne Magoon | Occupational Therapist | 105 Eastern Avenue, Rochester, NH 03867 | 2019-11-05 |
| 1124531801 | Amelia K Bailey | Behavioral Analyst | 36 Industrial Way Ste 10, Rochester, NH 03867 | 2017-11-16 |
| 1285183988 | Till Inc | Community/Behavioral Health | 20 Walnut Street Apt 2, Woburn, MA 03867 | 2016-09-23 |
| 1174070080 | Hope On Haven Hill, Inc | Substance Abuse Rehabilitation Facility | 326 Rochester Hill Rd, Rochester, NH 03867 | 2016-09-08 |
| 1710359468 | Silke Psula | Social Worker | 25 Old Dover Rd, Community Partners, Rochester, NH 03867 | 2015-10-21 |
| 1396129672 | Skyhaven Surgery Center LLC | Clinic/Center | 13 Healthcare Drive, Rochester, NH 03867 | 2015-07-16 |
| 1659788214 | Elizabeth Mary Solof | Case Management | 1 Old Dover Road, Suite 7, Rochester, NH 03867 | 2014-07-16 |
| 1265630412 | Deborah Jo Emery | Counselor | One Old Dover Road, Suite #6, Rochester, NH 03867 | 2007-07-10 |
| 1346455771 | Wendy Susan Clough | Pharmacist | 161 S Main Street, Rochester, NH 03867 | 2007-05-11 |
| Find all providers in zip 03867 | ||||
| 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 |
|---|---|---|---|---|
| 1710083563 | Bruce E Semans | Clinical Medical Laboratory | 5688 Oak Hill Rd, Rochester, IL 62563-8308 | 2006-09-16 |
| 1174517353 | Acm Medical Laboratory Inc | Clinical Medical Laboratory | 160 Elmgrove Park, Rochester, NY 14624-1359 | 2005-09-02 |
| 1083249577 | Mayo Clinic | Clinical Medical Laboratory | 200 1st St Sw, Rochester, MN 55905-0002 | 2020-03-05 |
| 1164925012 | The Unity Hospital of Rochester | Clinical Medical Laboratory | 1555 Long Pond Rd, Rochester, NY 14626 | 2018-03-16 |
| 1679087589 | Laboratory Corporation of America | Clinical Medical Laboratory | 18313 Paulson St Sw Ste A, Rochester, WA 98579-9262 | 2017-11-30 |
| 1518400688 | Rochester General Hospital | Clinical Medical Laboratory | 1425 Portland Ave, Rochester, NY 14621-3001 | 2016-11-22 |
| 1720471246 | The Unity Hospital of Rochester | Clinical Medical Laboratory | 160 Elmgrove Park, Rochester, NY 14624-1359 | 2015-03-09 |
| 1366835886 | Unity Health System | Clinical Medical Laboratory | 160 Elmgrove Park, Rochester, NY 14624-1359 | 2015-03-09 |
| 1487911863 | West Ridge Obstetrics & Gynecology, LLP | Clinical Medical Laboratory | 3101 W Ridge Rd, Bldg D, Rochester, NY 14626-3249 | 2012-04-23 |
| 1245406651 | University of Rochester Medical Center | Clinical Medical Laboratory | 601 Elmwood Ave, Box 626, Rochester, NY 14642-0001 | 2008-05-06 |
| Find all providers in ROCHESTER | ||||
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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.