Organization Active NPI

Pathology & Laboratory Services, LLC

  • Clinical Medical Laboratory
  • Woodbridge, CT
National Provider Identifier
1619194495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CL-0560 Issued in CT
Legal business name
PATHOLOGY & LABORATORY SERVICES, LLC
Practice address
11 Research Dr
Suite 4
Woodbridge, CT 06525-2348
Phone
(203) 389-4350
NPI assigned
Apr 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mrs. Elaine Criscuolo
Title
Coo
Phone
(203) 389-4350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CL-0560 CT Primary

Addresses

Primary practice location

11 Research Dr
Suite 4
Woodbridge, CT 06525-2348

Mailing address

11 Research Dr
Suite 4
Woodbridge, CT 06525-2348
Phone (203) 389-4350

National Provider Directory

National Provider Directory

Locations

11 Research Dr
Ste 4
Woodbridge, CT 06525
Phone (203) 389-4350

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619194495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RESEARCH DR",
            "address_2": "SUITE 4",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252348",
            "telephone_number": "203-389-4350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RESEARCH DR",
            "address_2": "SUITE 4",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252348",
            "telephone_number": "203-389-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY & LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRISCUOLO",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "203-389-4350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CT",
            "license": "CL-0560",
            "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 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.