Organization Active NPI

Platinum Diagnostics LLC

  • Clinical Medical Laboratory
  • East Brunswick, NJ
National Provider Identifier
1548908163
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20230417001334 NJ Part B Supplier - Independent Clinical Laboratory 3577938901 Practice locations: East Brunswick, NJ

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
31D2276856Platinum Diagnostics LLC3 Cornwall Drive, East Brunswick, NJ 08816ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.