Immunogen Diagnostics, LLC
Immunogen Diagnostics, LLC is a healthcare organization registered as Clinical Medical Laboratory in Fairfield, NJ, holding Type 2 (organization) NPI 1700100211 since 2010. The authorized official on file is Neel Bose, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700100211 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Immunogen Diagnostics, LLC |
| Practice address | 50 FAIRFIELD RD, Fairfield, NJ, 07004 |
| Phone | 9738085550 |
| Fax | 9738085999 |
| Enumeration date | 2010-03-26 |
| Last updated in NPPES | 2010-04-14 |
Authorized official
| Name | Neel Bose |
|---|---|
| Title | President |
| Phone | 9738081429 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31D1107857 | Other | NJ | CLIA |
Copy-ready billing details
Provider: Immunogen Diagnostics, LLC NPI: 1700100211 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 50 FAIRFIELD RD, Fairfield, NJ, 07004
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| 1811214943 | Cecilia Reyes | Individual | Family Nurse Practitioner | Fairfield, NJ |
| 1407107873 | Stephanie Bednarski Dpt | Organization | Physical Therapist | Fairfield, NJ |
| 1427397629 | Greene Gynecologic Consultants Professional Association | Organization | Specialist | Fairfield, NJ |
Verify this record
Cross-check NPI 1700100211 against the authoritative CMS record: view Immunogen Diagnostics, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Immunogen Diagnostics, LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-04-14.