NPI Details
PARK MADISON PROFESSIONAL LABORATORIES, INC. 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. PARK MADISON PROFESSIONAL LABORATORIES, INC. NPI is 1679584361. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Madison Laboratories, Inc..
The provider's business location address is:
97 E 4TH ST
NEW YORK, NY
ZIP 10003-002
Phone: (212) 628-7900
Fax: (212) 628-7950
The provider's authorized official is Tim Dressler .
The authorized official title is Director and has the following contact phone number (212) 628-7900.
The enumeration date for this NPI number is 8/10/2006 and was last updated on 12/11/2012.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 291U00000X | Clinical Medical Laboratory | | 33D0130762 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 00298384 | MEDICAID | NEW YORK | |
| 2 | 02166892 | MEDICAID | NEW YORK | |
| 3 | 33D0130762 | OTHER | NEW YORK | CLIA CERTIFICATE |
| 4 | 01469429 | MEDICAID | NEW YORK | |
| 5 | 02087061 | MEDICAID | NEW YORK | |
| 6 | L82261 | MEDICARE UPIN | NEW YORK | |
