Lab at Seascape

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB AT SEASCAPE

Practice address

200 W Liberty Way Ste B
Milford, DE 19963-5463

Phone

(302) 491-4258

Fax

(973) 954-4022

NPI assigned

Dec 4, 2018

Last updated

Nov 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Allen Wilson III

Title

President

Phone

(760) 807-7983

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DE

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

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1770053548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 CANTERBURY RD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LIBERTY WAY STE B",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635463",
            "telephone_number": "302-491-4258",
            "fax_number": "973-954-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB AT SEASCAPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-807-7983",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE BUSINESS LICENSE",
            "identifier": "2018609192",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geeta Kumari, MD
• Elizabeth Suarez Kuneman, PSY.D.
• Alexandra Kwan, PA-C
• Yasmin Nana Kyeremateng
• La Red Health Center, Inc.
• Nicole Lachman, APN
• Craig Adam Laing, ANP-BC
• Diana Lako, BCBA
• Beverly Dawn Lawson, LPCMH
• Savanah Noelle Laznik, AUD

• Clinical Medical Laboratory in Milford, DE
• Providers in Milford, DE by specialty
• Clinical Medical Laboratory in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.