NPIMap

Organization Active NPI

Metro Lab LLC

  • Clinical Medical Laboratory
  • Washington, DC
National Provider Identifier
1033360466
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
09D1087026 Issued in DC
Legal business name
METRO LAB LLC
Practice address
2017 Vermont Ave NW
Washington, DC 20001-4029
Phone
(202) 413-1092
Fax
(202) 939-0526
NPI assigned
Oct 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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

Authorized official

Name
Mr. Kassahun Tefera, ASCP
Title
Ceo
Phone
(202) 413-1092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 09D1087026 DC Primary

Addresses

Primary practice location

2017 Vermont Ave NW
Washington, DC 20001-4029

Mailing address

2017 Vermont Ave NW
Washington, DC 20001
Phone (202) 413-1092

Other names 1

  • Metro lab llc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251936000000",
    "number": "1033360466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 VERMONT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20001",
            "telephone_number": "202-413-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 VERMONT AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200014029",
            "telephone_number": "202-413-1092",
            "fax_number": "202-939-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2009-09-03",
        "status": "A",
        "authorized_official_last_name": "TEFERA",
        "authorized_official_first_name": "KASSAHUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-413-1092",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ASCP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "DC",
            "license": "09D1087026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro lab llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.