Primbio Research Institute LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PRIMBIO RESEARCH INSTITUTE LLC

Practice address

3070 McCann Farm Dr Ste 112
Garnet Valley, PA 19060-2131

Phone

(610) 458-1112

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Diana Zi YeNPI 1710757497

Title

Ceo

Phone

(610) 458-1112

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diana Zi Ye, HCLD

  • Clinical Laboratory Director (Non-physician)
  • Garnet Valley, PA
  • NPI 1710757497
  NPD Authorized official
• Zahidur R Abedin, PHD

  • Clinical Laboratory Director (Non-physician)
  • Garnet Valley, PA
  • NPI 1174239669
  NPD

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1801324611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 DUDIE DR",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190734004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 MCCANN FARM DR STE 112",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602131",
            "telephone_number": "610-458-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMBIO RESEARCH INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "YE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "ZI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-458-1112",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033488300001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald J Polinsky, M.D.
• Porter Nutrition, LLC
• Angela R. Prattis, LMT
• Precision Performance Physical Therapy
• Stacey Price, RN
• Pro Medical East LLC
• John P Rodzvilla, M.D.
• Erica Lynn Roselli, COTA/L
• Christian Rudawsky
• Andrew Scott Shalit, D.M.D.

• Clinical Medical Laboratory in Garnet Valley, PA
• Providers in Garnet Valley, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.