Organization Active NPI

Nelco Laboratories Inc

  • Clinical Medical Laboratory
  • Deer Park, NY
National Provider Identifier
1003023888
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
101193 Issued in NY
Legal business name
NELCO LABORATORIES INC
Practice address
154 Brook Ave
Deer Park, NY 11729-7205
Phone
(631) 242-3662
Fax
(631) 242-3290
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Noelle Park
Title
Vice President
Phone
(631) 242-3662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 101193 NY Primary

Addresses

Primary practice location

154 Brook Ave
Deer Park, NY 11729-7205

Mailing address

154 Brook Ave
Deer Park, NY 11729-7205
Phone (631) 242-3662

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003023888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 BROOK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117297205",
            "telephone_number": "631-242-3662",
            "fax_number": "631-242-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 BROOK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117297205",
            "telephone_number": "631-242-3662",
            "fax_number": "631-242-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELCO LABORATORIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "631-242-3662",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "101193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.