Clinigene Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

PFI 5453 Issued in NY

Legal business name

CLINIGENE LABORATORIES, LLC

Practice address

240 Motor Pkwy
Hauppauge, NY 11788-5105

Phone

(800) 299-3819

Fax

(631) 435-1515

NPI assigned

Jul 16, 2006

Last updated

Aug 22, 2020By 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. Martin G. Colucci

Title

Chief Financial Officer

Phone

(631) 435-1515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457378408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MOTOR PKWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885105",
            "telephone_number": "800-299-3819",
            "fax_number": "631-435-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MOTOR PKWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885105",
            "telephone_number": "800-299-3819",
            "fax_number": "631-435-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIGENE LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLUCCI",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-435-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "PFI 5453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• City Medical of Upper East Side, PLLC (CityMD)
• Katelyn Anne Ciulla, LMHC
• Julianna Elizabeth Civello
• Maureen Clarke, MS, OTR/L
• Clear Direction Psychological Services PLLC
• Michele Coburn, MSPT
• Jenna Emily Cognetta
• Amy Cohen, NPP
• Beth J Cohen, DC
• Michael Andrew Cohen, DPT

• Clinical Medical Laboratory in Hauppauge, NY
• Providers in Hauppauge, 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 Aug 22, 2020; 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.