THE JACKSON LABORATORY (NPI# 1609205483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609205483 |
| Entity Type | Organization |
| Organization Name | THE JACKSON LABORATORY |
| Practice Address |
10 Discovery Dr Farmington CT 06032-2374 |
| Mailing Address |
610 Main St Bar Harbor ME 04609-1526 |
| Practice Telephone | 8608372300 |
| Mailing Telephone | 2072886000 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2017-10-11 |
| Authorized Official Name | AURO NAIR (PRESIDENT, JMCRS) |
| Authorized Official Telephone | 2072886698 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | CL-0695 | CT | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THE JACKSON LABORATORY | 600 Main St, Bar Harbor, ME 04609-1500 |
| Street Address |
10 DISCOVERY DR |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06032-2374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499435 | Kelsey Erin Boyne | Student in an Organized Health Care Education/Training Program | 200 Academic Way, Farmington, CT 06032 | 2020-02-19 |
| 1760024723 | Baliram Maraj | Dentist | 801 Plainville Ave., Farmington, CT 06032 | 2019-10-11 |
| 1770144958 | Dominique Feterman Jimenez | Student in an Organized Health Care Education/Training Program | Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 | 2019-06-27 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1124683941 | Aleksandra M Sliwinska | Student in an Organized Health Care Education/Training Program | Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1922663889 | Sean Ag Harford | Student in an Organized Health Care Education/Training Program | Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 | 2019-05-07 |
| 1710450507 | Kathy Jean Campbell | Occupational Therapist | 10 Birdseye Rd, Farmington, CT 06032 | 2019-01-04 |
| 1790273373 | Cameron Seymour | Dentist | 291 Farmington Ave Ste 5, Farmington, CT 06032 | 2018-04-29 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1588160998 | Sight Sensory Rehabilitation Center, Pllc | Optometrist | 10 Birdseye Road, Farmington, CT 06032 | 2018-04-04 |
| Find all providers in zip 06032 | ||||
| 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 |
|---|---|---|---|---|
| 1568949436 | Stateline Medical Ar LLC | Clinical Medical Laboratory | 12204 W Highway 62, Farmington, AR 72730-9560 | 2018-07-24 |
| 1265789200 | Mhg Outpatient Lab LLC | Clinical Medical Laboratory | 560 W Pine St, Farmington, MO 63640-1426 | 2012-08-09 |
| 1184957391 | Lovelace Health Systems Inc. Dba S.e.d. Medical Laboratories-farmingto | Clinical Medical Laboratory | 724 W Animas St, Farmington, NM 87401-5617 | 2009-09-08 |
| 1891303053 | Parkland Health Center | Clinical Medical Laboratory | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-07-14 |
| 1013348523 | Presbyterian Medical Services | Clinical Medical Laboratory | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2013-12-09 |
| 1891978219 | The Center for Advanced Reproductive Services, PC | Clinical Medical Laboratory | 2 Batterson Park Rd, Farmington, CT 06032-2568 | 2007-12-07 |
| 1811047210 | Cascade Laboratory | Clinical Medical Laboratory | 33750 Freedom Rd, Farmington, MI 48335-4755 | 2007-01-10 |
| 1427031293 | University Dentists | Clinical Medical Laboratory | 263 Farmington Ave, Oral Pathology Laboratory, Farmington, CT 06030-0001 | 2005-11-25 |
| 1336122100 | University of Connecticut Health Center | Clinical Medical Laboratory | 21 South Rd, Dermatopathology Laboratory, Farmington, CT 06032-2482 | 2005-11-25 |
| 1558344721 | University of Connecticut Health Center | Clinical Medical Laboratory | 263 Farmington Ave, Cytogenetics Laboratory, Farmington, CT 06030-0001 | 2005-11-22 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06032 |
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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.