Crisper Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CRISPER DIAGNOSTICS LLC

Practice address

5618 Shields Dr
Bethesda, MD 20817-3532

Phone

(240) 200-9093

Fax

(240) 399-0236

NPI assigned

Jan 13, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anil Suwal, MD

Title

Ceo

Phone

(616) 717-0331

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonard Arthur Wisneski, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Conifer, CO
  • NPI 1326285354
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1023607298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173532",
            "telephone_number": "240-200-9093",
            "fax_number": "240-399-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173532",
            "telephone_number": "240-200-9093",
            "fax_number": "240-399-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISPER DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "SUWAL",
        "authorized_official_first_name": "ANIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-717-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE",
            "identifier": "21D2203210",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Dawn Cresson, LCSW
• Keri Marie Cressotti, MSN, RN, IBCLC
• Jake Cresta, MD
• Preston Macnair Criddle, DMD
• Julie Criner, LPC
• Karen Crist, LCSW-C
• Amira Gabrielle Crockett
• Ellen E. Cronin, M.D.
• William Andrew Cronin, M. D.
• Ginaya Marie Crooks, RN

• Clinical Medical Laboratory in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Medical Laboratory in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.