Active NPI
Dianon Systems Inc
- Clinical Medical Laboratory
- Woodbridge, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- DIANON SYSTEMS INC
- Practice address
- 12 Tallwood Rd
Woodbridge, CT 06525-1932 - Phone
- (203) 926-7463
- Fax
- (336) 436-1048
- NPI assigned
- Aug 1, 2023
- Last updated
- Aug 23, 2023
- 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
- Kimberly T Williams
- Title
- Vice President
- Phone
- (336) 222-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
12 Tallwood Rd
Woodbridge, CT 06525-1932
Mailing address
PO Box 2270
Burlington, NC 27216-2270
Phone (800) 222-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040206000682 | CT | Part B Supplier - Independent Clinical Laboratory | 8123931250 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Shelton, CT; Woodbridge, CT |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2283699 | Dianon Systems Inc | Compliance | Oct 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Dianon Systems Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Shelton, CT
- NPI 1962480608
-
- Clinical Medical Laboratory
- Burlington, NC
- NPI 1003819020
-
- Clinical Medical Laboratory
- Oklahoma City, OK
- NPI 1912997354
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Medical Laboratory
- Amory, MS
- NPI 1780669382
Member Of
Locations
216 Congers Rd
New City, NY 10956
Phone (845) 634-1604
840 Research Pkwy
Oklahoma City, OK 73104
Phone (405) 290-4000
840 Research Pkwy
#4
Oklahoma City, OK 73104
Phone (405) 290-4000
840 Research Pkwy
Fl 4
Oklahoma City, OK 73104
Phone (405) 290-4000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Stratford, CT
- NPI 1376763037
-
- Cytopathology Physician
- Stratford, CT
- NPI 1912026949
-
- Hematology (Pathology) Physician
- Stratford, CT
- NPI 1336343011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692748800000",
"number": "1497437446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2270",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272162270",
"telephone_number": "800-222-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 TALLWOOD RD",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065251932",
"telephone_number": "203-926-7463",
"fax_number": "336-436-1048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIANON SYSTEMS INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-01",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "336-222-7566"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.