Organization Active NPI

Medical Oncology & Hematology PC

Doing business as Diagnostic Hematology Lab

  • Clinical Medical Laboratory
  • New Haven, CT
National Provider Identifier
1174617245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CL0543 Issued in CT
Legal business name
MEDICAL ONCOLOGY & HEMATOLOGY PC
Doing business as
Diagnostic Hematology Lab
Practice address
1450 Chapel St
Suites a and B Father McGiveney Center for Cancer Care
New Haven, CT 06511
Phone
(203) 867-5420
Fax
(203) 867-5422
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Cynthia A Waranowicz
Title
Ceo
Phone
(203) 389-7504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CL0543 CT Primary

Addresses

Primary practice location

1450 Chapel St
Suites a and B Father McGiveney Center for Cancer Care
New Haven, CT 06511

Mailing address

19 Lunar Drive
Medical Oncology and Hematology PC
Woodbridge, CT 06525
Phone (203) 389-7504

Other identifiers 1

IdentifierTypeStateIssuer
CL0543OtherCTDEPT OF PUBLIC HEALTH LIC

Other names 1

  • Diagnostic Hematology Lab Doing business as

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
07D0098438Ynhh Saint Raphael Campus Laboratory1450 Chapel St, New Haven, CT 06511AccreditationFeb 27, 2027
07D2295844Yale University School of Medicine1450 Chapel St, New Haven, CT 06511AccreditationOct 22, 2026

National Provider Directory

National Provider Directory

Locations

19 Lunar Dr
Woodbridge, CT 06525
Phone (203) 389-7504

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174617245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUNAR DRIVE",
            "address_2": "MEDICAL ONCOLOGY AND HEMATOLOGY PC",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "06525",
            "telephone_number": "203-389-7504",
            "fax_number": "203-389-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAPEL ST",
            "address_2": "SUITES A AND B FATHER MCGIVENEY CENTER FOR CANCER CARE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06511",
            "telephone_number": "203-867-5420",
            "fax_number": "203-867-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONCOLOGY & HEMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARANOWICZ",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-389-7504",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL0543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF PUBLIC HEALTH LIC",
            "identifier": "CL0543",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Hematology Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.