OrganizationActive
Immunogen Diagnostics, LLC
NPI 1700100211 · Clinical Medical Laboratory · Fairfield, NJ
Provider details
- NPI number
- 1700100211
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Neel Bose, President(973) 808-1429
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
50 Fairfield Rd
Fairfield, NJ 07004-2414
Phone: (973) 808-5550
Fax: (973) 808-5999
Street-level locationGet directions
Mailing address
50 Fairfield Rd
Fairfield, NJ 07004-2414
Registry dates
- Enumerated
- 2010-03-26
- Last updated
- 2010-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.