Active NPI
Nelco Laboratories Inc
- Clinical Medical Laboratory
- Deer Park, NY
National Provider Identifier
1003023888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 101193
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.