NPIMap

Organization Active NPI

Yale University

Doing business as Yale Pathology Labs

  • Clinical Medical Laboratory
  • New Haven, CT
National Provider Identifier
1306875877
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
YALE UNIVERSITY
Doing business as
Yale Pathology Labs
Practice address
20 York St
New Haven, CT 06510-3220
Phone
(203) 785-2788
NPI assigned
Jun 30, 2006
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Iain D Burchell
Title
Cfo
Phone
(203) 785-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

20 York St
New Haven, CT 06510-3220

Mailing address

PO Box 7309
New Haven, CT 06519-0309

Other identifiers 1

IdentifierTypeStateIssuer
004134368MedicaidCT

Other names 1

  • YALE PATHOLOGY LABS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060706000019 CT Part B Supplier - Independent Clinical Laboratory 9436061736 Practice locations: New Haven, CT

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
07D0098275Yale University School of Medicine20 York St, Ep 2-607, New Haven, CT 06510AccreditationSep 21, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mga HomecareScottsdale, AZ, CCN 037243 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareColorado Springs, CO, CCN 067487 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareGlendale, CO, CCN 067522 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareAustin, TX, CCN 748009 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecarePueblo, CO, CCN 067584 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareAddison, TX, CCN 748028 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareMemphis, TN, CCN 447825 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 4, 2022

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1306875877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7309",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065190309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-785-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "BURCHELL",
        "authorized_official_first_name": "IAIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "203-785-2244"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004134368",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YALE PATHOLOGY LABS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.