Delaware Diagnostic Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2017600172 Issued in DE

Legal business name

DELAWARE DIAGNOSTIC LABS, LLC

Practice address

900 Uniqema Blvd
New Castle, DE 19720-2789

Phone

(302) 407-5903

Fax

(888) 777-9197

NPI assigned

May 19, 2017

Organization subpart

No

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

Authorized official

Name

Bo WangNPI 1285258970

Title

Lab Director

Phone

(215) 880-5036

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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 1

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

• Bo Wang

  • Clinical Laboratory Director (Non-physician)
  • Newark, DE
  • NPI 1285258970
  NPD Authorized official

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1144757212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 UNIQEMA BLVD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 UNIQEMA BLVD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202789",
            "telephone_number": "302-407-5903",
            "fax_number": "888-777-9197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE DIAGNOSTIC LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "215-880-5036"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "DE",
            "license": "2017600172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Defilippis, PTA
• John Austin Defrate, M.D.
• Delaware Academy Public Safety and Security
• Delaware Adult Daycare LLC
• Delaware CVS Pharmacy LLC
• Delaware Division of Substance Abuse and Mental Health
• Delaware Division of Substance Abuse and Mental Health
• Delaware Division of Substance Abuse and Mental Health
• Delaware Psychiatric Center
• Delaware Psychiatric Center Pharmacy

• Clinical Medical Laboratory in New Castle, DE
• Providers in New Castle, DE by specialty
• Clinical Medical Laboratory in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.