Active NPI
Clinical Pathology Diagnostics, LLC
- Anatomic Pathology & Clinical Pathology Physician
- Manchester, CT
National Provider Identifier
1184924102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- CLINICAL PATHOLOGY DIAGNOSTICS, LLC
- Practice address
- 71 Haynes St
Manchester, CT 06040-4131 - Phone
- (860) 647-6487
- Fax
- (860) 647-6487
- NPI assigned
- Oct 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis G O'Neill, M.D.
- Title
- President
- Phone
- (203) 647-6487
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
71 Haynes St
Manchester, CT 06040-4131
Mailing address
PO Box 1406
New Haven, CT 06505-1406
Phone (203) 647-6487
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00061361649 | Other | CT | US HEALTHCARE |
| 01026848 | Other | CT | CIGNA |
| 0008172967 | Other | CT | AETNA |
| 01023300 | Other | CT | CIGNA |
| 01025761 | Other | CT | CIGNA |
| 2927760 | Other | CT | CIGNA |
| 061361649 | Other | CT | CIGNA |
| 1104296 | Other | CT | UNITED HEALTHCARE |
| 761649-01 | Other | CT | CONNECTICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287964800000",
"number": "1184924102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1406",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065051406",
"telephone_number": "203-647-6487",
"fax_number": "203-647-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HAYNES ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060404131",
"telephone_number": "860-647-6487",
"fax_number": "860-647-6487"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICAL PATHOLOGY DIAGNOSTICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "203-647-6487",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "00061361649",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "01026848",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0008172967",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "01023300",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "01025761",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2927760",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "061361649",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1104296",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "761649-01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.