University Pathology, P.C.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0553 Issued in NY

Legal business name

UNIVERSITY PATHOLOGY, P.C.

Doing business as

Bradhurst Lab

Practice address

1 Westchester PLZ
Bradhurst Lab
Elmsford, NY 10523-1600

Phone

(914) 517-2488

Fax

(914) 493-2084

NPI assigned

Sep 2, 2006

Organization subpart

Yes

Parent organization

UNIVERSITY PATHOLOGY, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Myron R. Melamed, M.D.

Title

President

Phone

(914) 693-6268

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bradhurst Lab Doing business as

Part of

University Path Ref Lab

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1164524930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRADHURST AVE",
            "address_2": "BRADHURST LAB",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105322140",
            "telephone_number": "914-493-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WESTCHESTER PLZ",
            "address_2": "BRADHURST LAB",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105231600",
            "telephone_number": "914-517-2488",
            "fax_number": "914-493-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PATHOLOGY, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY PATHOLOGY, P.C.",
        "enumeration_date": "2006-09-02",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-693-6268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "0553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02241481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradhurst Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Top Integrated Medgroup LLC
• Tri-State Hyperbaric Services LLC
• Monique Tricarico, LMHC
• Angelica Chloe Tsakas, PSYD
• Ifeoma F. Udogwu, LMSW, LCSW
• Shantel Valentin, FNP-BC
• Linda Rijo Varughese
• Raquel Vega, PSY.D.
• Stephanie Vigato, RN
• Village of Elmsford (Village of Elmsford Emergency Medical Services)

• Clinical Medical Laboratory in Elmsford, NY
• Providers in Elmsford, 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 Feb 23, 2011; 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.