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GOTHAM GASTROENTEROLOGY PLLC NPI 1750701611


NPI Information

NPI: 1750701611
Provider Name: GOTHAM GASTROENTEROLOGY, PLLC

Doing Business As: DIGESTIVE DISEASE LABORATORY

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 33D2160705

Address:
535 5TH AVE
NEW YORK, NY
ZIP 10017
Phone: (212) 570-2075
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GOTHAM GASTROENTEROLOGY, PLLC is a clinical medical laboratory in New York, NY. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. GOTHAM GASTROENTEROLOGY, PLLC NPI is 1750701611. The provider is registered as an organization entity type.
The provider Is Doing Business As Digestive Disease Laboratory.

The provider's business location address is:

535 5TH AVE
NEW YORK, NY
ZIP 10017-620
Phone: (212) 570-2075

The provider's authorized official is Peter S Kim .
The authorized official title is Medical Director and has the following contact phone number (212) 794-0240.

The CLIA number assigned to this NPI record is 33D2160705 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2014 and was last updated on 4/18/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory190910NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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