The Embryology Network

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

GA121 Issued in NY

Legal business name

THE EMBRYOLOGY NETWORK

Practice address

600 Northern Blvd.
Albany Memorial Hospital
Albany, NY 12204

Phone

(518) 471-3276

Fax

(518) 471-3686

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Ann Kellom, PH.D.

Title

Owner/Operator

Phone

(518) 434-9006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1801084645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 MADISON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083601",
            "telephone_number": "518-434-9006",
            "fax_number": "518-471-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD.",
            "address_2": "ALBANY MEMORIAL HOSPITAL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12204",
            "telephone_number": "518-471-3276",
            "fax_number": "518-471-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMBRYOLOGY NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "KELLOM",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "518-434-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "GA121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Albany, NY
• Providers in Albany, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.