Organization Active NPI

The Trustees of Columbia University in the City of New York

Doing business as Columbia University Laboratories

  • Clinical Medical Laboratory
  • New York, NY
National Provider Identifier
1932368214
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
Doing business as
Columbia University Laboratories
Practice address
630 W 168TH St
PH 15 West - 1564
New York, NY 10032-3725
Phone
(212) 305-7399
NPI assigned
Jun 3, 2008
Last updated
Oct 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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

Authorized official

Name
Charles C Marboe
Title
Vice Chairman
Phone
(212) 305-8063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

630 W 168TH St
PH 15 West - 1564
New York, NY 10032-3725

Mailing address

630 W 168TH St
PH 15 West - 1564
New York, NY 10032-3725
Phone (212) 305-7399

Other names 1

  • COLUMBIA UNIVERSITY LABORATORIES Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0939927Columbia University Laboratory of Personalized630 W 168TH Street Room 11-453, New York, NY 10032ComplianceMar 26, 2027
33D2267951Columbia University College of Dental Medicine630 W 168TH St, New York, NY 10032Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

630 W 168th St
#14236
New York, NY 10032
Phone (212) 305-9706

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1932368214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "PH 15 WEST - 1564",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "PH 15 WEST - 1564",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "MARBOE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE CHAIRMAN",
        "authorized_official_telephone_number": "212-305-8063"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLUMBIA UNIVERSITY LABORATORIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.