Celdara Medical LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

03680 Issued in NH

Legal business name

CELDARA MEDICAL LLC

Practice address

16 Cavendish CT
Suite 240
Lebanon, NH 03766-1441

Phone

(617) 320-8521

Fax

(617) 475-5194

NPI assigned

Feb 16, 2012

Last updated

Oct 1, 2012By 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

Dr. Yolanda Camille Nesbeth, PH.D.

Title

Operations Manager

Phone

(603) 236-1852

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1831462159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CAVENDISH CT",
            "address_2": "SUITE 240",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661441",
            "telephone_number": "617-320-8521",
            "fax_number": "617-475-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CAVENDISH CT",
            "address_2": "SUITE 240",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661441",
            "telephone_number": "617-320-8521",
            "fax_number": "617-475-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELDARA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "NESBETH",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "603-236-1852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NH",
            "license": "03680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30809586",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Catherwood, M.D.
• Faith Catlin
• Emily Cattabriga
• Margaret Ann Caudill-Slosberg, M.D.
• Luke Ryan Cavanah
• Maria Magdalena Ceron Y Ceron, MD
• Aida Cerundolo, M.D.
• Matthew Burns Cerveny, MD
• Mark Aaron Cervinski, PH.D.
• Holley Alicia Cetrangolo

• Clinical Medical Laboratory in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Clinical Medical Laboratory in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.