Park Diagnostics Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PARK DIAGNOSTICS LABORATORIES LLC

Practice address

12008 131St St
South Ozone Park, NY 11420-2922

Phone

(646) 300-2399

NPI assigned

Oct 28, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Abraham, MD

Title

Managing Member

Phone

(646) 300-2399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1013469733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12008 131ST STREET",
            "city": "SO OZONE PARK",
            "state": "NY",
            "postal_code": "11420",
            "telephone_number": "646-300-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12008 131ST ST",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202922",
            "telephone_number": "646-300-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DIAGNOSTICS LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "646-300-2399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manpreet Pabla, LPN
• Yasha Pandohie, OTR/L
• Charles J Pantina, R.PH.
• Shaquetta A Pantry, LPN
• Adriana Parente, LMSW
• Park Health Pharmacy Inc
• Park Neurological Services, P.C.
• Salvatore Pavone, DMD
• Clausel Payen
• Isis Joyce Peralta, PT

• Clinical Medical Laboratory in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.