Organization Active NPI

Adscis LLC

  • Clinical Medical Laboratory
  • Waterford, NY
National Provider Identifier
1437813383
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADSCIS LLC
Practice address
64 Broad St
Waterford, NY 12188-2413
Phone
(518) 237-0641
NPI assigned
Oct 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Adila M Nathu, MDNPI 1245882182
Title
Director
Phone
(518) 237-0641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

64 Broad St
Waterford, NY 12188-2413

Mailing address

62 Broad St
Waterford, NY 12188-2413
Phone (518) 237-0641

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL crelio Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211122000610 NY Part B Supplier - Independent Clinical Laboratory 2163811761 Practice locations: Waterford, NY

National Provider Directory

National Provider Directory

Locations

63 Broad St
Waterford, NY 12188
Phone (518) 955-2339

62 Broad St
Waterford, NY 12188

64 Broad St
Waterford, NY 12188
Phone (518) 237-0641

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": "1635292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1437813383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 BROAD ST",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882413",
            "telephone_number": "518-237-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BROAD ST",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121882413",
            "telephone_number": "518-237-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADSCIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "NATHU",
        "authorized_official_first_name": "ADILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-237-0641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "crelio",
            "affiliation": "N",
            "endpointDescription": "electronic medical resords",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 Broad St",
            "city": "Waterford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121882413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.