Capital Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CAPITAL DIAGNOSTICS

Practice address

3000 Atrium Way
Suite 109
Mount Laurel, NJ 08054-3909

Phone

(803) 639-8633

NPI assigned

Feb 4, 2013

Organization subpart

No

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

Authorized official

Name

Ian Douglas

Title

Founder

Phone

(803) 639-8633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1831438308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ATRIUM WAY",
            "address_2": "SUITE 109",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ATRIUM WAY",
            "address_2": "SUITE 109",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543909",
            "telephone_number": "803-639-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "803-639-8633"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Campione
• Daniel A Canova Jr.
• Carmen Cantillo, FNP-BC
• Cristina Capanescu, M.D.
• Emily Capelli
• Candace Capoferri
• Care Services Supports Management
• Carefirst Specialty Pharmacy, LLC
• Caresify Home Care LLC
• Susanna Carew, PSY.D.

• Clinical Medical Laboratory in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.