Active NPI
Adscis LLC
- Clinical Medical Laboratory
- Waterford, NY
National Provider Identifier
1437813383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adila M Nathu, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | crelio | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211122000610 | NY | Part B Supplier - Independent Clinical Laboratory | 2163811761 | Practice locations: Waterford, NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Pathology Physician
- Waterford, NY
- NPI 1245882182
-
- Clinical Pathology Physician
- Linden, NJ
- NPI 1023612173
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.