IMMUNOGEN DIAGNOSTICS, LLC (NPI# 1700100211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700100211 |
| Entity Type | Organization |
| Organization Name | IMMUNOGEN DIAGNOSTICS, LLC |
| Practice Address |
50 Fairfield Rd Fairfield NJ 07004-2414 |
| Practice Telephone | 9738085550 |
| Practice Fax Number | 9738085999 |
| Mailing Telephone | 9738085550 |
| Mailing Fax Number | 9738085999 |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2010-04-14 |
| Authorized Official Name | MR. NEEL BOSE (PRESIDENT) |
| Authorized Official Telephone | 9738081429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | NJ | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | CLIA | 31D1107857 | 01 |
| Street Address |
50 FAIRFIELD RD |
| City | FAIRFIELD |
| State | NJ |
| Zip Code | 07004-2414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740397785 | Edward Catalano | Chiropractor | 50 Fairfield Rd, Fairfield, NJ 07004-2401 | 2006-08-24 |
| 1427397629 | Greene Gynecologic Consultants Professional Association | Specialist | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2013-02-07 |
| 1407107873 | Stephanie Bednarski Dpt | Physical Therapist | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2012-09-26 |
| 1811214943 | Cecilia V. Reyes | Nurse Practitioner | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2010-04-29 |
| 1033444021 | High Crest Medical, LLC | Internal Medicine | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2009-10-08 |
| 1891946364 | High Crest Functional Medicine, LLC | Chiropractor | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2008-10-02 |
| 1376713073 | High Crest Integrative Medicine, LLC | Chiropractor | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2008-03-10 |
| 1568649531 | Edward Catalano, Dc, LLC | Chiropractor | 50 Fairfield Rd, Fairfield, NJ 07004-2414 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543695 | Dr. Mae J. Balaban & Associates LLC | Psychologist | 333 A U.S. Highway 46 W Ste 260, Fairfield, NJ 07004 | 2019-11-18 |
| 1477103547 | Kdds Too, Inc. | Community/Behavioral Health | 28 Dwight Place, Fairfield, NJ 07004 | 2019-09-19 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1285111864 | Advance Home Physical Therapy LLC | Physical Therapist | 9 Belair Dr, Fairfield, NJ 07004 | 2018-07-25 |
| 1063808962 | Homecare Rx Inc. | Pharmacy | 695 Us Hwy. 46, Ste. 100, Fairfield, NJ 07004 | 2015-04-08 |
| 1336544832 | Villo' Fiddler | Pharmacist | 632 Rt. 46 East, Fairfield, NJ 07004 | 2014-10-27 |
| 1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
| 1386905529 | Med Life LLC | Ambulance | 295 Route 46 West, Suite 201, Fairfield, NJ 07004 | 2012-06-05 |
| 1164792453 | Daniel Seth Greenbaum | Dentist | 592 Us Highway 46, Fairfield, NJ 07004 | 2012-01-04 |
| 1447529425 | Yelena Daysudov | Pharmacist | 180 Passaic Avenue, Fairfield, NJ 07004 | 2011-12-21 |
| Find all providers in zip 07004 | ||||
| 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 |
|---|---|---|---|---|
| 1154941284 | Adventus Education LLC | Clinical Medical Laboratory | 4820 Business Center Dr Ste 100b, Fairfield, CA 94534-1901 | 2020-04-18 |
| 1912487711 | Vela Diagnostics Usa Inc | Clinical Medical Laboratory | 353c Us Route 46, Suite 250, Fairfield, NJ 07004 | 2018-08-21 |
| 1386130607 | United Clinical Laboratory of New Jersey LLC | Clinical Medical Laboratory | 373 E Us Route 46 West Unit 111, Fairfield, NJ 07004-2456 | 2018-07-10 |
| 1548618408 | Reliance Diagnostics LLC | Clinical Medical Laboratory | 353 Us 46, Suite 215, Fairfield, NJ 07004-2415 | 2016-06-01 |
| 1932572484 | Metro Dx Labs Corporation | Clinical Medical Laboratory | 710 Us Highway 46, Suite 100, Fairfield, NJ 07004-1540 | 2015-11-05 |
| 1700194024 | Ethos Holding Corp. | Clinical Medical Laboratory | 3978 Mack Rd, Fairfield, OH 45014-5574 | 2010-09-21 |
| 1639404544 | Dna Diagnostics Center | Clinical Medical Laboratory | One Ddc Way, Fairfield, OH 45014-2296 | 2009-10-09 |
| 1639417140 | Lab One LLC | Clinical Medical Laboratory | 209 Nw 11th St, Fairfield, IL 62837-1218 | 2013-01-18 |
| 1417262981 | Multicare Management Svc., Inc | Clinical Medical Laboratory | 908 Symmes Rd, Fairfield, OH 45014-1842 | 2010-08-09 |
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|---|---|---|---|---|
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| 1114524071 | Meadowlands Diagnostics, LLC | Clinical Medical Laboratory | 177 Valley Blvd Fl 2, Wood Ridge, NJ 07075-2011 | 2020-10-05 |
| 1174135073 | Accu Lab Services | Clinical Medical Laboratory | 108 S Munn Ave Ste 2, East Orange, NJ 07018-3402 | 2020-08-21 |
| 1205447992 | Sigmund Labs LLC | Clinical Medical Laboratory | 78 John Miller Way Ste 1001, Kearny, NJ 07032-6500 | 2020-08-14 |
| 1992315337 | Jayson Mobile Care Phlebotomist LLC | Clinical Medical Laboratory | 80 Corbin Ave, Jersey City, NJ 07306-6914 | 2020-07-31 |
| 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.