Coriell Institute for Medical Research

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

00015734 Issued in NJ

Legal business name

CORIELL INSTITUTE FOR MEDICAL RESEARCH

Practice address

403 Haddon Ave
Camden, NJ 08103-1505

Phone

(856) 966-7377

Fax

(856) 964-0254

NPI assigned

Aug 10, 2010

Last updated

Aug 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Edward John Pallies, MS

Title

Business Manager

Phone

(856) 757-4826

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1356656862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031505",
            "telephone_number": "856-966-7377",
            "fax_number": "856-964-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031505",
            "telephone_number": "856-966-7377",
            "fax_number": "856-964-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORIELL INSTITUTE FOR MEDICAL RESEARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "PALLIES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "856-757-4826",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "00015734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Aldon Cooper, APRN
• Sharon A Cooper
• Megan Copel, RN, BSN
• Brian Joseph Corbett, D.O.
• Cheryl Ann Corcoran, OT
• Coriell Life Sciences, Inc.
• Katelyn Cortes
• Rebecca Smedley Cortese, APN
• Keli Kristen Costa, DNP, CRNA
• Stephanie Costa, MD

• Clinical Medical Laboratory in Camden, NJ
• Providers in Camden, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.