Laboratory Alliance of Central New York, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

33D0954150 Issued in NY

Legal business name

LABORATORY ALLIANCE OF CENTRAL NEW YORK, LLC

Practice address

113 Innovation LN
Liverpool, NY 13088-6061

Phone

(315) 453-7200

Fax

(315) 461-3030

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

Rita Romano

Title

Ceo

Phone

(315) 461-3036

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Crouse Health Hospital

  • Urgent Care Clinic/Center
  • Syracuse, NY
  • NPI 1699829846

  Member Of

  NPD member
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333

  Member Of

  NPD member
• Suny Health Science Center at Syracuse

  • Community/Retail Pharmacy
  • Syracuse, NY
  • NPI 1740796697

  Member Of

  NPD member

Locations

Practitioners 3

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

• Phillip Martin Cicco, N.P.

  • Nurse Practitioner
  • Syracuse, NY
  • NPI 1679987143
  NPD
• Jayne L Healey, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Liverpool, NY
  • NPI 1457559114
  NPD
• Douglas D Macqueen, MD

  • Infectious Disease Physician
  • Ithaca, NY
  • NPI 1427129543
  NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1396746673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CONTINUUM DR STE 2A",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884387",
            "telephone_number": "315-461-3006",
            "fax_number": "315-461-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 INNOVATION LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886061",
            "telephone_number": "315-453-7200",
            "fax_number": "315-461-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY ALLIANCE OF CENTRAL NEW YORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "ROMANO",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-461-3036"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D0954150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1978849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard B Krzyzak, OD
• Richard P Kulak, DO
• Maryjean Katherine Kulle, PH.D.
• Justin M Kurtz, RN, MSN, FNP-C
• Jackson Kwok, MD
• Laboratory Corporation of America Holdings
• Heather Michelle Laframboise, RN
• Charles Eugene Laman, DDS
• Geraldine M. Lamattina, P.N.P.
• Jennie Lampkin, LPN

• Clinical Medical Laboratory in Liverpool, NY
• Providers in Liverpool, 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 Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.