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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2015
- 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
- Charles C Marboe
- Title
- Vice Chairman
- Phone
- (212) 305-8063
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0939927 | Columbia University Laboratory of Personalized | Compliance | Mar 26, 2027 |
| 33D2267951 | Columbia University College of Dental Medicine | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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"
}
]
}
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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.