Coagtech LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

COAGTECH LLC

Practice address

97 Whitney Ave
New Haven, CT 06510-1232

Phone

(203) 530-8885

Fax

(203) 777-4906

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Ray Pantalena

Title

Manager

Phone

(203) 530-8885

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1215259718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101232",
            "telephone_number": "203-530-8885",
            "fax_number": "203-777-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WHITNEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101232",
            "telephone_number": "203-530-8885",
            "fax_number": "203-777-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAGTECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "PANTALENA",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-530-8885"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph Clow IV, MSW
• CMHC (Satu)
• Barbara Cmuchowski
• Co-Create With Briah
• Mikaela Rose Coady, PA-C
• Joanne Latella Cobb, LCSW
• Frederick Coburn, LCSW
• Julia Cobuzzi
• Gena Elizabeth Coelho, APRN
• Caroline Jane Coffee, APRN

• Clinical Medical Laboratory in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.