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DIAGNOSTIC HEMATOLOGY LAB
NPI 1073549648
Internal Medicine - Hematology & Oncology in Woodbridge, CT

Active since June 24, 2006
19 LUNAR DRIVE, WOODBRIDGE, CT 06525(203) 389-7504(203) 389-1666 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diagnostic Hematology Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC HEMATOLOGY LAB (NPI 1073549648) is a healthcare organization registered as a hematology & oncology in Woodbridge, Connecticut and active in the NPI registry since June 2006. The organization lists Sandra Coppola, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1073549648
Entity TypeOrganization
Primary Taxonomy207RH0003X
Legal Business NameMEDICAL ONCOLOGY & HEMATOLOGY, PC
Location Address19 LUNAR DRIVEWoodbridge, CT 06525
Mailing Address19 Lunar DriveWoodbridge, CT 06525 · (203) 389-7504 · Fax (203) 389-1666
Phone(203) 389-7504
Fax(203) 389-1666
Organization SubpartNo
Authorized OfficialSandra CoppolaBusiness Manager · (203) 389-7504
Enumeration DateJune 24, 2006
Last NPPES UpdateOctober 11, 2011
✔ NPI 1073549648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
19 LUNAR DRIVE, Woodbridge, CT 06525
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Other Names 1

Doing Business AsDiagnostic Hematology Lab

Other Identifiers 4

Medicaid004001459CT
Medicare PINCM1770
Medicare PIN690003007
Medicare ID-Type UnspecifiedC00657

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Oncology & Hematology, PC's NPI number?

The NPI number for Medical Oncology & Hematology, PC is 1073549648. It was assigned to this organization in the NPPES registry on June 24, 2006. The provider is doing business as Diagnostic Hematology Lab.

Where is Medical Oncology & Hematology, PC located?

Medical Oncology & Hematology, PC is located at 19 Lunar Drive, Woodbridge, CT 06525. The listed phone number is (203) 389-7504.

What is Medical Oncology & Hematology, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

When was this NPI record last updated?

The NPPES record for Medical Oncology & Hematology, PC was last updated on October 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.