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MEDICAL 360 HOUSE CALL PLLC NPI 1881119634


NPI Information

NPI: 1881119634
Provider Name: MEDICAL 360 HOUSE CALL, PLLC

Former Legal Business Name: MEDICAL 24 HOUSE CALL OF NEW YORK, PLLC

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

CLIA Number: 33D2250555

Address:
185 OLD COUNTRY RD STE 7
RIVERHEAD, NY
ZIP 11901
Phone: (631) 494-2215
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MEDICAL 360 HOUSE CALL, PLLC is a clinical medical laboratory in Riverhead, 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. MEDICAL 360 HOUSE CALL, PLLC NPI is 1881119634. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Medical 24 House Call Of New York, Pllc.

The provider's business location address is:

185 OLD COUNTRY RD STE 7
RIVERHEAD, NY
ZIP 11901-121
Phone: (631) 494-2215

The provider's authorized official is Steven K Samuel .
The authorized official title is Physician and has the following contact phone number (516) 312-0231.

The CLIA number assigned to this NPI record is 33D2250555 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2017 and was last updated on 1/10/2022.


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
1208D00000XGeneral Practice238889NEW YORKNo
2261QH0100XClinic/CenterHealth ServiceNo
3291U00000XClinical Medical LaboratoryYes

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: 11/14/2023

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