Icon Pathology Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ICON PATHOLOGY LABORATORY, LLC

Practice address

145 Talmadge Rd Ste 17
Edison, NJ 08817-2842

Phone

(732) 662-7732

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Arpana Watts

Title

Partner

Phone

(732) 662-7732

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jing-Jing Yang, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Ny, NY
  • NPI 1528371002
  NPD (past)

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1922258722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 TALMADGE RD STE 17",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172842",
            "telephone_number": "732-662-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 TALMADGE RD STE 17",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172842",
            "telephone_number": "732-662-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON PATHOLOGY LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "ARPANA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-662-7732"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Hutton
• Christina Iacuzio
• Ian J. Molk, M.D., L.L.C
• Mina Ibrahim
• Sandy Ibrahim, LAC
• David Michael Idank, D.O.
• Ideal Health Care LLC
• Ideal Health Care LLC
• David Michael Illes, D.D.S.,P.A.
• Irina Claudia Ilut

• Clinical Medical Laboratory in Edison, NJ
• Providers in Edison, 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 Jan 30, 2020; 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.