Organization Active NPI

Acm Medical Laboratory Inc

  • Clinical Medical Laboratory
  • Rochester, NY
National Provider Identifier
1174517353
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ACM MEDICAL LABORATORY INC
Practice address
160 Elmgrove Park
Rochester, NY 14624-1359
Phone
(585) 429-2289
Fax
(585) 247-2797
NPI assigned
Sep 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Ms. Gita Ramachandran
Title
Chief Financial Officer
Phone
(585) 429-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

160 Elmgrove Park
Rochester, NY 14624-1359

Mailing address

160 Elmgrove Park
Rochester, NY 14624-1359
Phone (585) 429-2289

Other identifiers 1

IdentifierTypeStateIssuer
00419750MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0654949RGH Elmgrove Laboratory160 Elmgrove Park, Rochester, NY 14624ComplianceMar 26, 2027
33D2181596Acm Medical Laboratory, Inc160 Elmgrove Park, Rochester, NY 14624ComplianceMar 26, 2027

National Provider Directory

National Provider Directory

Locations

160 Elmgrove Park
Rochester, NY 14624
Phone (585) 429-2361

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1174517353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ELMGROVE PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241359",
            "telephone_number": "585-429-2289",
            "fax_number": "585-247-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ELMGROVE PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241359",
            "telephone_number": "585-429-2289",
            "fax_number": "585-247-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACM MEDICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "RAMACHANDRAN",
        "authorized_official_first_name": "GITA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "585-429-2225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00419750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.