Champlain Toxicology Lab, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CHAMPLAIN TOXICOLOGY LAB, LLC

Practice address

32 Veterans LN Ste 2
Plattsburgh, NY 12901-1217

Phone

(518) 324-5261

Fax

(518) 324-3366

NPI assigned

Sep 11, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Thierry P. Bonnabesse, MD

Title

Owner / President

Phone

(518) 324-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Kelley Lynne Abrams, FNP

  • Family Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1295411890
  NPD (past)
• Emily Burnham, NP

  • Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1821547290
  NPD (past)
• Navjot Singh, MD

  • Interventional Pain Medicine Physician
  • Plattsburgh, NY
  • NPI 1851886212
  NPD (past)

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1043869068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 VETERANS LN STE 2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011223",
            "telephone_number": "518-324-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 VETERANS LN STE 2",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011217",
            "telephone_number": "518-324-5261",
            "fax_number": "518-324-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN TOXICOLOGY LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "BONNABESSE",
        "authorized_official_first_name": "THIERRY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "518-324-7246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Paul Catton, O.D.
• Andrei Cepoi, MD
• Aura Cernii, MD
• CGSR, Inc (Meadowbrook Healthcare)
• Champlain Pain Relief and Neurology, PLLC
• Champlain Valley Audiology, PLLC
• Champlain Valley Brace and Limb, L.L.C. (ActivStyle)
• Champlain Valley Cardiology, PC
• Champlain Valley Education Services
• Champlain Valley Family Center

• Clinical Medical Laboratory in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.