Active NPI
Platinum Diagnostics LLC
- Clinical Medical Laboratory
- East Brunswick, NJ
National Provider Identifier
1548908163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PLATINUM DIAGNOSTICS LLC
- Practice address
- 3 Cornwall Dr Ste 100
East Brunswick, NJ 08816-3311 - Phone
- (267) 253-5401
- NPI assigned
- May 24, 2022
- Last updated
- Jul 15, 2026
- 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
- Thomas Harbaugh Jr.
- Title
- Owner
- Phone
- (267) 293-3360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3 Cornwall Dr Ste 100
East Brunswick, NJ 08816-3311
Mailing address
3 Cornwall Dr Ste 100
East Brunswick, NJ 08816-3311
Phone (267) 293-3360
Other practice location 1
296 Summerhill Rd Bsmt
Spotswood, NJ 08884-1245
Phone (267) 293-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230417001334 | NJ | Part B Supplier - Independent Clinical Laboratory | 3577938901 | Practice locations: East Brunswick, NJ |
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 |
|---|---|---|---|
| 31D2276856 | Platinum Diagnostics LLC | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
3 Cornwall Dr
Ste 100
East Brunswick, NJ 08816
Phone (267) 253-5401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1548908163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 CORNWALL DR STE 100",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163311",
"telephone_number": "267-293-3360",
"fax_number": "732-967-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 CORNWALL DR STE 100",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163311",
"telephone_number": "267-253-5401"
}
],
"practiceLocations": [
{
"address_1": "296 Summerhill Rd Bsmt",
"address_purpose": "LOCATION",
"city": "Spotswood",
"state": "NJ",
"postal_code": "088841245",
"country_code": "US",
"telephone_number": "267-293-3360",
"fax_number": "732-967-2341",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PLATINUM DIAGNOSTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-24",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "HARBAUGH",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-293-3360",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.