Reliance Diagnostics LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RELIANCE DIAGNOSTICS LLC

Practice address

353 US 46
Suite 215
Fairfield, NJ 07004-2415

Phone

(973) 276-3213

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Marie J Baudouin

Title

President

Phone

(973) 441-0958

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hebert Georges, MD

  • Forensic Psychiatry Physician
  • Boston, MA
  • NPI 1841456209
  NPD

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1548618408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 US 46",
            "address_2": "SUITE 215",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042415",
            "telephone_number": "973-276-3213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 US 46",
            "address_2": "SUITE 215",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042415",
            "telephone_number": "973-276-3213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "BAUDOUIN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-441-0958",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quiet Craft Solutions Inc (Nurse Noble)
• Stephanie Radin, LMSW
• Sarah Radtke
• Jacqueline Ralph
• Rays Fairfield LLC (ComForCare Home Care- N.Essex)
• Cecilia V. Reyes, APN
• Nicholas Ricciotti
• Ted Riskin, LCSW
• Daniel Andrew Risso, LAC,NCC
• RMG Care Services

• Clinical Medical Laboratory in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.