Organization Active NPI

Sema4 Opco, Inc

  • Clinical Medical Laboratory
  • Stamford, CT
National Provider Identifier
1902474653
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SEMA4 OPCO, INC
Practice address
62 Southfield Ave
Stamford, CT 06902-7229
Phone
(800) 298-6470
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Authorized official

Name
Danielle Watimar
Title
Payor Analyst
Phone
(240) 429-3142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

62 Southfield Ave
Stamford, CT 06902-7229

Mailing address

333 Ludlow St FL Tower8
Stamford, CT 06902-6987
Phone (475) 333-3621

Other identifiers 1

IdentifierTypeStateIssuer
07D2180805OtherCLIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL SEMA4OPCOINC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

62 Southfield Ave
Stamford, CT 06902
Phone (800) 298-6470

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1902474653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LUDLOW ST FL TOWER8",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069026987",
            "telephone_number": "475-333-3621",
            "fax_number": "475-333-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 SOUTHFIELD AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069027229",
            "telephone_number": "800-298-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEMA4 OPCO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "WATIMAR",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "PAYOR ANALYST",
        "authorized_official_telephone_number": "240-429-3142"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "07D2180805",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SEMA4OPCOINC",
            "affiliation": "N",
            "address_1": "62 Southfield Ave",
            "city": "Stamford",
            "state": "CT",
            "country_code": "US",
            "postal_code": "069027229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.