Applied Dna Clinical Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

APPLIED DNA CLINICAL LABS, LLC

Practice address

25 Health Sciences Dr Ste 120
Stony Brook, NY 11790-3383

Phone

(631) 240-8800

Fax

(631) 201-3179

NPI assigned

Jun 29, 2021

Organization subpart

No

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

Authorized official

Name

James A Hayward, MD

Title

President & Ceo

Phone

(631) 240-8801

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1366012742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117390626",
            "telephone_number": "631-907-2186",
            "fax_number": "631-201-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HEALTH SCIENCES DR STE 120",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903383",
            "telephone_number": "631-240-8800",
            "fax_number": "631-201-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLIED DNA CLINICAL LABS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "631-240-8801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Antonucci, MA, CCC-SP, LSLP
• Muhammad Ammaar Anwar, MD
• Muhammad Mowahid Anwar
• Shantel Apeseche, MD
• Malissa Marie Aponte, RN, FNP-C
• Michael Stephan Apton, DDS
• Cheryl Aquino, PT
• Ludmila Aramian, M.D.
• Ricardo Aranguren, P.A.
• Elise Frangoise Arbefeville, MD

• Clinical Medical Laboratory in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.