Organization Active NPI

L2 Diagnostics, LLC

  • Clinical Medical Laboratory
  • New Haven, CT
National Provider Identifier
1598827636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
L2 DIAGNOSTICS, LLC
Practice address
300 Cedar St. Tac Room S-525
New Haven, CT 06520-8031
Phone
(203) 737-1952
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark J Mamula, PH.D.
Title
Associate Professor of Medicine
Phone
(203) 785-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

300 Cedar St. Tac Room S-525
New Haven, CT 06520-8031

Mailing address

P.O. Box 208031
300 Cedar St. Tac Room S-525
New Haven, CT 06520-8031
Phone (203) 737-1952

Other identifiers 4

IdentifierTypeStateIssuer
07DO943606OtherCTCLIA
CU5316OtherCTHEALTHNET
709946OtherCTCT CARE
A914266OtherCTOXFORD

National Provider Directory

National Provider Directory

Locations

300 Cedar St
Rm S525
New Haven, CT 06519
Phone (203) 737-1952

333 Cedar St
Rm 609
New Haven, CT 06510
Phone (203) 737-1952

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598827636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 208031",
            "address_2": "300 CEDAR ST. TAC ROOM S-525",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208031",
            "telephone_number": "203-737-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CEDAR ST. TAC ROOM S-525",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208031",
            "telephone_number": "203-737-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L2 DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMULA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ASSOCIATE PROFESSOR OF MEDICINE",
        "authorized_official_telephone_number": "203-785-2840",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "07DO943606",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CU5316",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT CARE",
            "identifier": "709946",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A914266",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.