Dot Laboratories, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DOT LABORATORIES, INC.

Practice address

780 E Main St Ste 1
Branford, CT 06405-2956

Phone

(415) 534-9976

NPI assigned

Jun 12, 2020

Organization subpart

No

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

Authorized official

Name

Heather Bowerman

Title

Ceo

Phone

(415) 534-9976

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1033734215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 BUCHANAN ST # 340",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941231710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E MAIN ST STE 1",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052956",
            "telephone_number": "415-534-9976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOT LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "BOWERMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-534-9976"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT TAX REGISTRATION NUMBER",
            "identifier": "541714",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Results",
            "affiliation": "N",
            "address_1": "780 E Main St Ste 1",
            "city": "Branford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064052956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Lynn Domack, OTA/L
• Madeline Rose Dommel, OTR/L
• Diane Mauro Donohue, APRN
• Michael Phillip Dorfman, M.D.
• Robert George Dorr, MD
• Jeremy Doucette, MD
• Heather S Dowling
• Sharon Barbara Drakos, R.N., A.P.R.N.
• Dsi Branford LLC
• Duncanson & Associates Inc

• Clinical Medical Laboratory in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.