Active NPI
Sema4 Opco, Inc
- Clinical Medical Laboratory
- Stamford, CT
National Provider Identifier
1902474653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07D2180805 | Other | CLIA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | SEMA4OPCOINC |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Icahn School of Medicine Pharmacy
- Specialty Pharmacy
- New York, NY
- NPI 1629410816
Member Of
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.