Organization Active NPI

Archer Medical Diagnostic Testing

Doing business as Archer Medical

  • Physiological Laboratory
  • North Tonawanda, NY
National Provider Identifier
1255796686
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
ARCHER MEDICAL DIAGNOSTIC TESTING
Doing business as
Archer Medical
Practice address
3799 Commerce CT Ste 300
North Tonawanda, NY 14120-2027
Phone
(716) 205-0433
Fax
(716) 706-1416
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Mr. Stephen Hutton
Title
Executive Director
Phone
(585) 455-9178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

3799 Commerce CT Ste 300
North Tonawanda, NY 14120-2027

Mailing address

3799 Commerce CT Ste 300
North Tonawanda, NY 14120-2027
Phone (716) 205-0433

Other names 1

  • Archer Medical 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
33D1101486Trinity Medical Wny, PC3799 Commerce Court Suite 200, North Tonawanda, NY 14120Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

3799 Commerce Ct
Ste 300
North Tonawanda, NY 14120
Phone (716) 205-0433

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1255796686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3799 COMMERCE CT STE 300",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202027",
            "telephone_number": "716-205-0433",
            "fax_number": "716-706-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 COMMERCE CT STE 300",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202027",
            "telephone_number": "716-205-0433",
            "fax_number": "716-706-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHER MEDICAL DIAGNOSTIC TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "585-455-9178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archer Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.