Organization Active NPI

Dianon Systems Inc

  • Clinical Medical Laboratory
  • Woodbridge, CT
National Provider Identifier
1497437446
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D2283699Dianon Systems Inc12 Tallwood Rd, Woodbridge, CT 06525ComplianceOct 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dianon Systems Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

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

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.

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.

Verify at the official NPI Registry.