RSM Diagnostics Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RSM DIAGNOSTICS LAB LLC

Practice address

2500 Grubb Rd Ste 120
Wilmington, DE 19810-4711

Phone

(302) 740-1347

NPI assigned

Jan 26, 2022

Last updated

Nov 28, 2022By 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

Shankara Subramanian

Title

Owner

Phone

(302) 592-4106

Specialties & licenses 1

Addresses

Electronic endpoints 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

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1770236127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD STE 120",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRUBB RD STE 120",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104711",
            "telephone_number": "302-740-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSM DIAGNOSTICS LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "SUBRAMANIAN",
        "authorized_official_first_name": "SHANKARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-592-4106"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "KoLIMS",
            "affiliation": "N",
            "endpointDescription": "Private Server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "2500 Grubb Rd Ste 120",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198104711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Kathryn Rowley, MSN, FNP-BC
• Roosevelt Rowsey, BSPH
• Royal Radiance Wellness & Spa
• Samantha Angela Rozati, OD
• Cassandra Rozell-Bartley
• Stephanie Ruban
• James J Rubano, M.D., MBA
• Ralph Peter Rubeo, OPTICIAN
• Bettina Rubin, L.C.S.W.
• Jonathan D Rubin, MD

• Clinical Medical Laboratory in Wilmington, DE
• Providers in Wilmington, 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 28, 2022; 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.